Contact | LilyFrog Preschool & Childcare

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Apply to Lilyfrog

Child's First name*

Child's Last name*

Child's Birthday*

Month

Day

Year

Child's Gender

Allergies/ Medical Conditions/ Things Lily Frog should know

Address

Parent/Guardian First Name*

Parent/Guardian Last Name*

Relationship to Child*

Email*

Phone*

2- Parent/Guardian First Name

2- Parent\Guardian Last Name

Relationship to Child

Email

Phone

Desired Start Date*

Desired Schedule*

Full Week

Two Day (Tuesday, Thursday)

Three Day (Monday, Wednesday, Friday)

Early Morning Care (pre-school only)

Sibling Attending?*

Yes

No

(If Yes) Sibling Name

Are you a military family?*

Yes

No

How did you hear about us?*

Internet Search

Friends and Family

Social Media

Road-side Sign

Newport This Week

Portsmouth or Sakonnet Times

Aquidneck Island Living Magazine

Other (please specify)

Date of application

Month

Day

Year

Signature

Sign in the box or use the keyboard to type.

Signature field is empty.

Fees *

Application Fee$100

Contact Us

1184 East Main Road, Portsmouth, RI 02871 | (401) 847-0685

Daycare, Childcare, Preschool, School Vacation Camp, Summer Camp, Infant Care, Toddler Care

Serving Aquidneck Island and all of Newport County and The East Bay

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