Contact | LilyFrog Preschool & Childcare

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Hours: M - F 7:30 am - 5:30 pm

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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

Were you referred by a family currently enrolled at Lilyfrog? Please share their name so we can thank them.

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

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Fees *

Application Fee$100

Contact Us

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

Preschool, Pre-k, Daycare, Childcare, Infant Care, Toddler Care, School Vacation Camp, Summer Camp

Serving Aquidneck Island: Portsmouth, RI - Middletown, RI - Newport, RI & surrounding communities

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