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WolfPup Childcare Application Form NC State University Child Care Center Managed By Bright Horizons Choosing a quality childcare program is one of the most important decisions a parent can make. NC State offers 47 slots at a discounted monthly fee for the children of full-time benefits-eligible faculty and staff of NC State as well as full-time Post-docs. Registration requires 100 fee that will be applied to your first month s child care rates at the center. An annual re-enrollment fee of 50 additional sibling 35 is required each Fall but is also reimbursed if you remain in the center and will be applied to your child care rates. When your registration form and fee if applicable are received you will be contacted regarding the availability of space and the enrollment process. Prior to enrollment the Center Director will schedule a time for you to meet with your child s teachers review the parent/guardian policies and procedures and sign the parent/guardian contract. Child s Name Date of Birth or estimated due date Parent s / Guardian s Name Name Relationship Address Home Phone Cell Phone Work Org Name Work Phone Email Address Schedule Desired Full-time Slots are limited to fulltime enrollments. What date would you like enrollment to begin The center will do everything possible to meet your needs but is unable to guarantee start dates. I am a full-time benefits-eligible employee or post-doc of NC State University Yes No NCSU Employee number Return this form and check for registration fee if applicable to North Carolina State University Child Care Center 691 Palmer Drive Campus Box 8623 Raleigh NC 27603 Phone 919 513-2835 Fax 919 513-2729 Email ncsu brighthorizons. NC State offers 47 slots at a discounted monthly fee for the children of full-time benefits-eligible faculty and staff of NC State as well as full-time Post-docs. Registration requires 100 fee that will be applied to your first month s child care rates at the center. Registration requires 100 fee that will be applied to your first month s child care rates at the center. An annual re-enrollment fee of 50 additional sibling 35 is required each Fall but is also reimbursed if you remain in the center and will be applied to your child care rates. An annual re-enrollment fee of 50 additional sibling 35 is required each Fall but is also reimbursed if you remain in the center and will be applied to your child care rates. When your registration form and fee if applicable are received you will be contacted regarding the availability of space and the enrollment process. When your registration form and fee if applicable are received you will be contacted regarding the availability of space and the enrollment process. Prior to enrollment the Center Director will schedule a time for you to meet with your child s teachers review the parent/guardian policies and procedures and sign the parent/guardian contract. Prior to enrollment the Center Director will schedule a time for you to meet with your child s teachers review the parent/guardian policies and procedures and sign the parent/guardian contract. Child s Name Date of Birth or estimated due date Parent s / Guardian s Name Name Relationship Address Home Phone Cell Phone Work Org Name Work Phone Email Address Schedule Desired Full-time Slots are limited to fulltime enrollments.

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