Application

Submitting your application & fee secures adds your child to the waitlist and expresses your interest in touring. Applying does not guarantee enrollment.

Tours are offered when openings are anticipated. Openings are filled based on age eligibility and program preference/availability.

Child's Name

First Name

Last Name

Child's Birthday

YYYY

Preferred Start Date:

New enrollments normally start at age 17-26 months. If you have flexibility with start date, please share more here:

Parent/Guardian #1 Name

Who is your preferred point of contact?

First Name

Last Name

Parent/Guardian #1 Profession/Place of Work:

Parent #1 Email

Parent #1 Phone

(###)

###

####

Parent/Guardian #2 Name

First Name

Last Name

Parent/Guardian #2 Profession/Place of Work:

Parent #2 Email

Parent #2 Phone

(###)

###

####

In what town/city does your family reside?

If you would like to share any unique information about your child you want caregivers to know, you may do so here:

Ex. allergies, dietary restrictions, special needs, etc.

If you'd like to share more about your child's home life, you may do so here:

Ex. Siblings, pets, primary caregivers, schedule, current enrollment in another program, special interests of child, etc.

Please describe your child's previous experience in any kind of care outside the home:

Ex. Daycare, preschool, nannyshare, babysitter, family members, none, etc.

Is your child's immunization record up to date and available if enrollment is offered? (This is a state requirement for all daycares and preschools.)

Yes

How did you hear about Miss Audrey's?

If you were referred by a previously enrolled family, please list their name so I may thank them.

Please select your preferred program(s) below.

3x/week Half Days 8:30-12:30 (MON-WEDS) $1520/mo

4x/week Half Days 8:30-12:30 (MON-THURS) $1880/mo

If you have flexibility with the above program preferences, please elaborate below.

Signature

I understand that the above information will be emailed directly to Audrey and is kept confidential.

Submission Date

Please use TODAY'S DATE.

YYYY

To complete your application:

Please send your $80 fee via Venmo to @Miss-Audrey.

Applications submitted without payment will not be added to the waitlist. Tours and are offered to waitlist families when upcoming availability is anticipated.