Enrollment Interest Form
Welcome to Around The Clock Learning Center 🤍Thank you for your interest in becoming a part of our village. We are truly honored that you are considering us for your child’s care and early learning journey. At ATCLC, we go beyond traditional childcare—we intentionally create a warm, nurturing environment where children feel safe, seen, and supported every single day.Our approach blends strong academics with social-emotional learning, helping your child build confidence, independence, and the skills they need to thrive both in school and in life. Here, your child isn’t just watched—they are poured into, encouraged, and developed as a whole child.We can’t wait to learn more about your family and begin this journey together.
Parent Name
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First Name
Last Name
Parent Name
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First Name
Last Name
Childs Name
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First Name
Last Name
Childs Name (If none additional type 'NA')
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First Name
Last Name
Childs Name
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First Name
Last Name
Childs Current Age
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Childs Current Age
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Childs Current Age
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Childs Date Of Birth
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Month
 -
Day
Year
Date
Childs Date Of Birth
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Month
 -
Day
Year
Date
Childs Date Of Birth
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Month
 -
Day
Year
Date
Phone Number
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E-mail
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Confirmation Email
example@example.com
Address
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Street Address
Street Address Line 2
Town / City
Region
Postal Code
Email Validator
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Which program are you interested in?
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Traditional Care - 6am - 6pm
Extended Day (6pm-9pm)
Drop-in/Flexible Care
Weekend Care
Preferred days
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Desired Start Date
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Month
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Day
Year
Date
Services Needed
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Part Time (3 days)
Full Time
Part Time (2 days)
Please identify the payment selection you seek to use
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Cash
CCAP
What is MOST important to you when choosing childcare? (Select up to 3)
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Clean, Safe Environment
Strong Academic Learning
Social-Emotional Development (behavior, confidence, emotional growth)
Caring & Nurturing Staff
Small Group / Individual Attention
Flexible Hours (evenings, weekends, late nights)
Communication with Parents
Structure & Routine
Location / Convenience
Affordability
Tell us more about what matters most to you for your child and your family:
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Schedule your Meet & Greet
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Are you interested in Employment Opportunities
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Yes
No
Location Verification (auto-detected)
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Math Challenge
Terms and Conditions
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Submit
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