Registration

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Registration

The basic registration form is below. Filling out the form does not guarantee admission to Milford Mill Church Child Development Center. Admission must be confirmed by the office after all fees, tuition, and additional forms have been paid and completed. We work on a space and needs available basis. If you have any questions or concerns, please contact the office.

* Indicates required field

Child's Name *

First

Last

Child's Preferred Name ("Called") *

Gender *

Child's Birth Date (MM/DD/YYYY) *

Address *

City *

State *

Zip Code *

Email *

Name of Parent/Guardian #1 *

First

Last

Occupation of Parent/Guardian #1 *

Phone of Parent/Guardian #1 *

Phone is *

Name of Parent/Guardian #2 *

First

Last

Occupation of Parent/Guardian #2 *

Phone of Parent/Guardian #2 *

Phone is *

Church Attendance *

Other Children From Your House Enrolled *

How did you hear about us? *

Any special Needs or concerns? *

Program *

2-Year-Olds 3-Year-Olds 4-Year-Olds (Pre-K) Kindergarten

How many days/week do you plan to attend? *

2 days/week 3 days/week 5 days/week

Do you plan to attend half days or full days? *

Half Days (8:30 am-11:30 am) Full Days (8:30 am-3:15 pm)

Do you plan to use extended care? *

Morning (7:30-8:30 am) Afternoon (3:15-5:30 pm) Drop-In as needed No extended care

By typing your name below, you certify that the information contained in this form is accurate to the best of your knowledge and you are submitting an inquiry to Milford Mill CDC for enrollment. Submitting this form does not guarantee enrollment. Please wait for the office to contact you. Upon confirmation of space, you will need to pay $185 application fee to reserve your spot. *

Submit

Milford Mill Church Child Development Center
915 Milford Mill Rd, Pikesville, MD 21208
Office 410.486.5548
Fax 410.486.7485

Home
About
Virtual Tour
Calendar
Tuition & Fees
Programs
Summer Program
Staff & Teachers
Registration
Forms
FAQ
Payment Portal
Contact