Pre-Enrollment Interest Application
Kreative Learning Academy
Child Information:
Child's Full Name
*
First Name
Last Name
Child's Age
Child's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Is your toddler/preschooler fully potty trained?
Yes
No
Almost with very few accidents
Anticipated Start Date
ASAP
Within 30 days
1-3 months
Flexible
Child's Current Care Setting (if any)
*
At home
Another daycare
Family care
First-time enrollment
Care Type Requested
*
Full-Time
After School Care (Transportation is not available at the moment.)
Location (City & State)
*
City
State
How does your child typically respond to structure and routines?
Very well
With adjustment
Still learning
Prefer unstructured environments
Program Expectations (Please mark each statement to continue):
I understand enrollment is based on availability and program approval
I understand tuition is due on time per policy
I agree to follow all parent handbook policies
I understand this program is structured and routine-based
I understand that if after-school care is requested, KLA does not provide transportation from the child’s school to the facility.
Support Needs
We strive to support children within our licensed ratios and program structure.
Does your child require accommodations beyond typical classroom supports?
No
Possibly
Yes (please explain)
Person completing the form
*
First Name
Last Name
Relation to the child:
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Final Acknowledgment
By submitting this application, I acknowledge that:
Submission does not guarantee enrollment
This is a pre-enrollment interest form
Enrollment is based on availability, licensing, and program fit
Submit
Should be Empty: