26/27 A Child's Place - First Steps Application Current Student

2026-2027

A Child's Place First Steps Current Student Application

7:15 AM - 6:00 PM

FULL/PART WEEK (2-day minimum)

APPLICATIONS DO NOT ROLL OVER - YOU MUST REAPPLY EACH NEW SCHOOL YEAR
Child's Name:*

First NameLast Name
Date of Birth

MonthDayYear
Date
Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact/Guardian Information

First Person to Contact
Primary Contact/Guardian Name

First NameLast Name
Primary Contact/Guardian Relationship to Child
Primary Contact/Guardian Phone
Primary Contact/Guardian Phone Type
Primary Contact/Guardian Email
example@example.com
Secondary Contact/Guardian Information
Secondary Contact/Guardian Name

First NameLast Name
Secondary Contact/Guardian Relationship to Child
Secondary Contact/Guardian Phone
Secondary Contact/Guardian Phone Type
Secondary Contact/Guardian Email
example@example.com
Status of Applicant

Currently enrolled - Due October 30, 2024
12 Month First Steps Program Interested in:*

Toddlers (Born 9/1/2024 - 8/31/2025)Older Toddlers (Born 9/1/2023 - 8/31/2024)Preschool (Born 9/1/2021 - 8/31/2023)
What is your first choice for days?

MonTuesWedThurFri
What is your second choice for days?

MonTuesWedThurFri
Check if interested in Financial Aid

Yes
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Primary Contact/Guardian Information