Please enable JavaScript in your browser to complete this form.Parent Name *FirstLastEmail *Child *FirstLastPhone *Birthdate *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Will you be enrolling another child as well?NoYesSecond Child's Name *FirstLastSecond Child's Birthdate *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Full-time staff who are currently employed at Foundations are able to enroll their child(ren) for any attendance plan A-F. Part-time or contract employees who are currently employed at Foundations are able to enroll their child(ren) for any plan B-F.Attendance Schedule (please pick one) *Attendance Plan A: Full Day (5) 7:15am – 3:30pm Monday, Tuesday, Wednesday, Thursday, FridayAttendance Plan B: Full Day (3) 7:15am – 3:30pm Monday, Wednesday, FridayAttendance Plan C: Full Day (2) 7:15am – 3:30pm Tuesday, ThursdayAttendance Plan D: Mother’s Day Out (5) 7:15am – 12:30pm Monday, Tuesday, Wednesday, Thursday, FridayAttendance Plan E: Mother’s Day Out (3) 7:15am – 12:30pm Monday, Wednesday, FridayAttendance Plan F: Mother’s Day Out (2) 7:15am – 12:30pm Tuesday, ThursdaySubmit
