Childcare Enrollment Inquiry

CLLC Enrollment Inquiry

566 Van Nest Avenue. Bx, NY, 10460
All registrations are received and reviewed in a first-come, first serve basis. Upon filling all open spots, all additional submissions will be added to our waiting list and you will receive a letter.
Primary Parent Information

Let’s start by learning more about you and your family.
First Name*
Last Name*
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Child Information

Families interested in enrolling children under two years of age may still submit the form.
First Name*
Last Name*
Child DOB *

MonthDayYear
Childcare 2025 - 2026 (2-10Y)3-K For All (3Y)Afterschool Care (3-10Y)Summer Program 2026 (3-10Y)Other
Expected Start Date*

MonthDayYear
Child Information #2

Do you want to sign up another child?
First Name
Last Name
Child DOB

MonthDayYear
Could you briefly share how you heard about our program?*
YesNo
Questions / Comments: Please read below*
*If you are inquiring about our After-School Care Program, provide the following information above: the #1) Name of your child's school, #2) Dismissal time, and whether #3) Transportation arrangements are required.
Please choose a time for a call, Monday–Friday between 11:00 AM and 5:00 PM.*

:HourMinutesAM/PM Option
YesNo
To prevent any delays in processing your inquiry form, please ensure that all questions are fully & correctly answered and one application is submitted. Thank you!
H
Please verify that you are human*
Childcare 2025 - 2026 (12M-4Y)After School 2025-2026 (4Y-10Y)Summer Program 2026 (3Y-10Y)
Should be Empty:

CLLC Enrollment Inquiry

Primary Parent Information

Child Information

Child Information #2