Childcare Enrollment Inquiry

CLLC Enrollment Inquiry
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.
Parent Information

Let’s start by learning more about you and your family.
First Name*
Last Name*
E-mail*
example@example.com
Phone Number*
By providing your contact information, you consent to Cecelia’s Little Learners Childcare & Preschool contacting you via phone, text, or email regarding our services.
Child Information
First Name*
Last Name*
Child DOB *

MonthDayYear
Which program are you wanting to register for? *
Primary Hours of Care*
Expected Start Date*

MonthDayYear
Expected Departure Date*

MonthDayYear
Date
Could you briefly share how you heard about our program?*
Could you briefly share how you heard about our program?*
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)Teachers name, #3) Dismissal time, and whether #4)Transportation arrangements are required.
Would you like to add another child? If so, please enter their information in the box above.*

YesNo
To prevent any delays in processing your inquiry form, please ensure that all questions are fully answered. Currently, we don’t offer temporary care. Thank you for your understanding.
Please verify that you are human*
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CLLC Enrollment Inquiry