2025/2026 School Year Enrollment
School Year Registration for preschool, Full Day Kindergarten, K Enrichment, and before/after care. Submit ONE FORM PER CHILD PLEASE
Enter Your KT Account ID to pre-populate your form. Otherwise fill out all fields completely.
Current Child Steps Family?
Please Select
Yes
No
Number of Children Enrolling
Please Select
1
2
3
4
Primary Last Name
*
Primary Parent or Guardian Registering
Primary First Name
*
Primary Parent or Guardian Registering
Primary Cell
*
Primary Parent or Guardian Registering Cell Phone
Primary Email
*
Primary Parent or Guardian Registering Email
Secondary Last Name
Secondary Parent or Guardian
Secondary First Name
Secondary Parent or Guardian
Secondary Cell
Secondary Parent or Guardian
Secondary Email
Secondary Parent or Guardian
Street
*
Child's Home Street Address
City
*
Child's Home City Address
State
*
Child's Home State
Zip Code
*
Child's Home Zip Code
Child Last Name
*
Child First Name
*
Child Birth
*
-
Month
-
Day
Year
Date Picker Icon
Gender
*
Male
Female
N/A
Other
Who does Child Primarily Reside With?
*
Primary Contact
Secondary Contact
Both Parents
Other
Are there any shared custody or pickup limitations or issues?
*
No
Yes
Full Week or Part Week
Full Week M-F
Part Week 3 Days
Part Week 2 Days (ONLY POTENTIALLY AVAIL)
Program Type
*
Full Day Preschool
Half Day Preschool
Kindergarten, Full Day
Kindergarten Enrichment
1st/2nd Grade Before or After Care with Transportation
Allergies
*
Yes
No
Emotional, Speech or Learning Disability or Challenge
*
Yes
No
Part-Time Days of Attendance (Please select either REQUIRED days or PREFERRED days if FLEXIBLE)
*
Mon Required
Mon Preferred
Tues Required
Tues Preferred
Wed Required
Wed Preferred
Thurs Required
Thurs Preferred
Fri Required
Fri Preferred
AM or PM Enrichment
Please Select
AM Enrichment
PM Enrichment
AM Enrichment - PM Kindergarten. PM Enrichment - AM Kindergarten
Which Elementary School
Please Select
Coopertown
Chatham
Chestnutwold
Linwood
Manoa
Which Elementary School will your child attend?
Elementary School Transportation
Please Select
CHILDSTEPS AM Dropoff at School - Before Care Required
CHILDSTEPS PM Pickup from School - After Care Required
Both Dropoff & Pickup
If your child needs CHILD STEPS to be drop off or pick up at Elementary School, please select. DO NOT SELECT if only MIDDAY transportation for enrichment is required
Before Care for this Child?
*
Yes
No
Before Care Times ( Part-Time Pick up to 3 days) or Full-Time Pick up to 5 days)
*
Rows
NONE
7:30 AM
8:00 AM
8:30 AM
Monday
Tuesday
Wednesday
Thursday
Friday
Will you need After Care for this Child
*
Yes, Before 4PM Pickup
Yes, After 4PM Pickup
No Aftercare
After Care Pickup Time (Part-Time Pick up to 3 Days, Full-Time Pick up to 5 Days)
*
Rows
NONE
Before 4:00 PM
4:30 PM
5:00 PM
5:30 PM
Monday
Tuesday
Wednesday
Thursday
Friday
Please select all allergies that apply
Symptoms of Allergic Reaction
Treatment for Allergic Reaction
Type of Emotional, Speech or Learning Disability (Select all that apply)
Emotional Regulation
Speech
Learning
Autism
ADD
ADHD
IEP Available
Testing Previously Recommended
In class therapy required
Other
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