Enrollment application

Tell us about your child and the schedule you need. We will contact you about openings, and the rest of the paperwork happens when you enroll.

Leave this empty

Your child

Child's first name Child's last name

Date of birth Program

Desired start date Schedule

Potty trained? (optional) Languages spoken at home (optional)

Is your child in child care now? Where? (optional) Allergies or anything else we should know (optional)

Parent or guardian

Full name Relationship to child

Phone Email

Home address Employer (optional)

Second parent or guardian (optional)

Full name Relationship to child

Phone Email

A few more questions

Will you use a child care subsidy? A brother or sister at Little Learners?

How did you hear about us? (optional) Anything else? (optional)

I understand this application does not guarantee a spot. Little Learners will contact me about availability, and enrollment is final only after a signed enrollment agreement and the required paperwork.

Want to see the school first? Request a tour or call (775) 786-8155.