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Plaistow Learning Center Inc.
95 Plaistow Road Plaistow, NH. 03865
Phone (603) 382-4500 Fax (603) 382-0030

If you would like to print the registration form and mail it or fax it in to us, please click here



Emergency Contact Person

You are required to list at least 1 person who can assume responsibility for you child if the main Parent/Guardian can not be reached immediately in an emergency situation.

Emergency Pick-Up Person(s)



Alternate 3rd Person Pick-Up (Optional)


 Family Childcare Business Policy

All tuitions are based on the “total” cost of the program. The weekly fees are a breakdown of the total cost which is financed interest free to facilitate parent payment. This is due to the fact that we are required to hire staff based on the number of children enrolled in a particular program. We cannot offer tuition refunds or credits when your child does not attend, (this includes holidays that the school is closed, family vacations, child out do to an illness, and inclement weather or unforeseen events).

Weekly payments: Payments are due on Friday for the upcoming week.


is enrolled in the program for the

We are looking forward to seeing you on the following times and days:


She/He will be attending a total of hours at $ per week.

Upon enrollment a $50.00 registration fee is required.  You are also required to pre-pay your child’s first week of school. Both of these fees are non-refundable and to reserve each child’s space for our programs. Both fees are due prior to your child’s first day of school.

A two week written notice is required to terminate this contract should you need to leave the school. You will be held accountable for the final two weeks of payment!

I have read, understand and agree to the above policy.

Children picked up after 6:00 pm will incur a charge of $10.00 for the first 15 minutes and then a $1.00 per minute thereafter.

Please sign and return this contract by to ensure your child a space.









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