YMCA Early Learning Center - Reading, Enrollment Inquiry

YMCA Early Learning Center - Reading

Full-day Child Care Inquiry Form
Thank you for your interest in the YMCA Early Learning Center! We’re honored you’re considering us to be part of your child’s early education journey. Fill out this short form and we’ll help you take the next step, whether that’s scheduling a tour, asking questions, or getting started with enrollment.

Tell us more about your child(ren)
How many children are you interested in enrolling?*
Important for staffing ratios, tour prep, and planning
Has your child(ren) attended an early learning program before?*

YesNo
Do you have a preferred start date?

MonthDayYear
Date
Child 1 Full Name*

First NameLast Name
Child 1 Date of Birth*

MonthDayYear
Date
Child 2 Full Name

First NameLast Name
Child 2 Date of Birth

MonthDayYear
Date
Child 3 Full Name

First NameLast Name
Child 3 Date of Birth

MonthDayYear
Date
Child 4 Full Name

First NameLast Name
Child 4 Date of Birth

MonthDayYear
Date
Does your child have any allergies? Please list any.