Parent Guardian Information

First Name*
Last Name*
Gender*
Date of Birth*
 / 
 / 
E-mail:*
Address*
City*
State*
Zip Code*
Phone 1*
-
Phone 2
-
Additional Information

Children Information

Child 1

First Name (Child 1) *
Last Name (Child 1)*
Gender (Child 1)*
Date of Birth (Child 1)*
Your relationship to (Child 1)*

Child 2

First Name (Child 2)
Last Name (Child 2)
Gender (Child 2)
Date of Birth (Child 2)
Your relationship to (Child 2)

Child 3

First Name (Child 3)
Last Name (Child 3)
Gender (Child 3)
Date of Birth (Child 3)
Your relationship to (Child 3)

Child 4

First Name (Child 4)
Last Name (Child 4)
Gender (Child 4)
Date of Birth (Child 4)
Your relationship to (Child 4)


Care Plan Information

How do you plan on using Drop 4 Fun? Choose all that apply

DAILY (CHOOSE DAYS)
WEEKLY (CHOOSE MONTHS)
MONTHLY (CHOOSE MONTHS)
Additional Information.

Choose your initial payment plan

As a Drop 4 Fun member, you will always enjoy the LOWEST PRICES with 20% OFF child care. At the beginning of each month, D4F will automatically charge you $200 of childcare. If you exceed $200 in one month, you can simply pay as you go, enjoying the benefit of 20% off. Any unused amount will simply rollover into the following month, expiring after 6 months. Minimum 6 month contract is required, after which you can cancel at any time with 10 days written notice.

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