Background and Statistical Information Regulatory Information License Number Date first licensed Program Affiliation NAEYC YMCA Waldorf Montessori Religious Other ________________ No affiliation Business Entity Independent/sole proprietor C Corporation, S Corporation or LLC Not for profit corporation: 501 (c)(3) Partnership or LLP Public school Other (explain) Type of program offered during regular operation Full day only (over 5 Full and part day Part day only Other (explain) Days and Hours of Operation Days regularly open: MON TUE WED THU FRI SAT SUN of operation: ______________ to _______________ (please indicate AM/PM) Do you offer more than one session per day? YES NO Do you offer additional hours on school vacations? YES NO This program is best described as: Open year round Open during school year only Open in summer only Other (explain) ___________________________
Background and Statistical Information Regulatory Information License Number Date first licensed Program Affiliation NAEYC YMCA Waldorf Montessori Religious Other ________________ No affiliation Business Entity Independent/sole proprietor C Corporation, S Corporation or LLC Not for profit corporation: 501 (c)(3) Partnership or LLP Public school Other (explain) Type of program offered during regular operation Full day only (over 5 Full and part day Part day only Other (explain) Days and Hours of Operation Days regularly open: MON TUE WED THU FRI SAT SUN of operation: ______________ to _______________ (please indicate AM/PM) Do you offer more than one session per day? YES NO Do you offer additional hours on school vacations? YES NO This program is best described as: Open year round Open during school year only Open in summer only Other (explain) ___________________________