Apply Now

Student Name(Required)

Date of Birth(Required)

Gender(Required)

Child's Classroom(Required)

Potty training requirement:
We require children to be potty trained for our preschool rooms. Please confirm that your child is potty trained, or add notes that you feel might be relevant if they are not.

My Child is Potty Trained(Required)

Yes, my child is fully potty trained

My child is not fully potty trained, see notes

Potty Training Notes(Required)

Parent/Guardian 1 Information

Guardian 1 Name(Required)

Guardian 1 Home Phone(Required)

Guardian 1 Employment(Required)

Guardian 1 Work Phone(Required)

Guardian 1 Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Guardian 1 Email(Required)

Parent/Guardian 2 Information

Guardian 2 Name

Guardian 2 Home Phone

Guardian 2 Employment

Guardian 2 Work Phone

Guardian 2 Home Address

Street Address Address Line 2 City State ZIP Code

Guardian 2 Email

Do both parents live in the same household?(Required)

Does either guardian currently work at Open Door Health Center?(Required)

Emergency Contact Information

Name at least one emergency contact in addition to the guardians listed above.

Guardians(Required)

Name

Phone Number

Daily Schedule(Required)

Weekly Schedule(Required)

Other Weekly Schedule(Required)

Enrollment Start Date(Required)

Enrollment date will depend on availability

Desired Location(Required)

Enrollment, Schedule, & Tuition
A registration fee will be added to the first month's bill, as well as an annual supplies fee. Parents will be billed monthly according to the enrollment program agreed upon. Monthly payments are due in full by the 1st. Late fees will be charged if payments are not received on time. It is the family's responsibility to make sure payment is made even if your child’s regular scheduled day doesn’t fall on the 1st or if you plan to be out of town. Payments can be made on Brightwheel or with cash or a check dropped off at the school.

Deposit
A deposit is required to hold a spot for 30 or more days. This deposit will be applied to your first month’s bill once your child starts. The deposit is refundable if at least a 30 day notice is given to forfeit your enrollment.

Please see our current fees for more details and current fee amounts, and our current tuition rates.

Schedule Changes
Parents must give a minimum 30 day notice of any schedule change requests. Schedule requests must be approved before changing. Parents are responsible to fill out all proper paperwork before attendance is allowed. This includes a physician report and current updated immunizations for your child. Drop-off time is no later than 9:30am, unless other arrangements were made in advance. Parents must keep all records and forms up to date. A visit with parents/guardians and child are required before the child attends Little Learners. This meeting can be made with the director. We have a 30 day trial period to ensure it’s a good fit for the classroom and child.

Signature(Required)