Apply for Your FREE In-Home Early Learning Session

Apply for Your FREE In‑Home Early Learning Session!

Deadline: 12/1/25
Limited spots available for toddlers ages 0–6 | Autism-Friendly | Sensory-Aware

This application helps us learn about your child and confirm if we’re a good fit before scheduling your free session. Spaces are limited each month.
Parent Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Child’s Name & Age*
What are your child’s learning or care goals?*
(Ex: routine support, communication, play skills, sensory needs, potty training, etc.)
How soon are you looking to start care?*

ASAPWithin 2 weeksNext monthJust exploring options
Which package would you be most interested in?*

2 Days per week (3-hour sessions)3 Days per week (3-hour sessions)Not sure yet
Preferred Day for Free Session

MondayTuesdayWednesdayThursdayFriday
Preferred Time of Day

Morning (9:00 AM – 11:00 AM)Midday (11:30 AM – 1:30 PM)Afternoon (2:00 PM – 4:00 PM)
How did you hear about us?

Flyer / DoorhangerFriend / ReferralSocial Media
Who shared the doorhanger with you?
Should be Empty:

Apply for Your FREE In‑Home Early Learning Session!