Apply for Admission | Bigelow Cooperative Daycare

Bigelow Cooperative Daycare — Application for Admission

Fields marked * are required. Application date will be recorded automatically on submission.

Child's information

Child's full name *

Date of birth *

Sex

Home address *

City *

Zip code *

Preferred schedule

All days begin at 8:30 am. For each day your child will attend, choose a pickup time — 3:30 pm or 5:30 pm. Schedules of fewer than 5 days must include a Monday or Friday.

Parent / Guardian 1

Name *

Address (if different from child's)

Occupation

Employer

Cell phone *

Email *

Parent / Guardian 2 if applicable

Name

Address (if different from child's)

Occupation

Employer

Cell phone

Payment type *

Private paying family Voucher / tuition assistance applicant

A few questions

1. Has your child had any previous group care experience? If yes, where?

2. Have you ever belonged to a childcare cooperative or other cooperative? If yes, please describe your experience.

3. As parents, what do you expect from a childcare center — in terms of philosophy, activities, curriculum, and particularly from a cooperative?

4. Is there anything you would like us to know about your child?

How did you hear about us?

Referred by a family or friend Google or web search Walked or drove by Social media Other

Application fee: A $50 non-refundable application fee is due at the time of submission. Pay online via PayPal. Families applying with a state childcare voucher are exempt from this fee.

Your application is valid for one year from the date of submission.

Application received

We're so glad
you applied.

Your application has been submitted. Our director will review it and be in touch within a few business days. Don't forget to pay your $50 application fee online via PayPal.

Back to home View enrollment info →

What happens next

Our director will review your application and contact you within a few business days.
Enrollment is confirmed with a signed 12-month contract and a one-month tuition deposit.
This application is valid for one year from the date of submission.

Application fee

A $50 non-refundable application fee is due at the time of submission. Pay online via PayPal →

Families applying with a state childcare voucher or tuition assistance are exempt from this fee.

Prefer to print?

Download a printable version of the application, fill it out, and email it to enrollment@bigelowcoop.org.

Download application (PDF) →