CDC Waitlist Form

CDC Signup Form

Open enrollment has started! Reserve your place at FUMC Killeen's Child Development Center Today!
Child's Full Name*

First NameLast Name
Child's Birthday*

MonthDayYear
Date
Child's Gender*

MaleFemale
Child's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Best E-mail Contact*
Mother's Name*
Mother's Phone Number*

Area CodePhone Number
Father's Name
Father's Phone Number

Area CodePhone Number
Are you looking for full-time or part-time childcare?*

Full-timePart-time (Tuesday/Thursday)Part-time (Monday/Wednesday/Friday)
Are you a member of FUMC Killeen?*

YesNoNo, but I'd like more information on it
Does your child have any siblings already enrolled in our CDC?*

YesNo
Would you like to apply for additional siblings? (for the 2021-2022 school year)*

YesNo
If so, enter the siblings' names and ages below:
Do you have any other questions?
- After May 15th, enrollment opens to the public with a $100 supply fee
For more information on FUMC Killeen's Child Development Center, check out our website at: www.fumckilleen.com/child-development-center
Should be Empty:

CDC Signup Form