Enrollment Interest Form

Enrollment Interest Form

Universal Children's Learning Academy LLC
Thank you for your interest in joining the UCLA family!
Please complete this form to receive an Admissions Packet and further information for your student(s) to join the UCLA family!
Student Information
Student Name

First NameLast Name
Student Date of Birth

MonthDayYear
Date
Desired Program
CCAPFoster CareB-3No my student will not be subsidized
Parent Information
We just need one contact for now. You will have the opportunity to add more contacts later in the Brightwheel App.
Parent Name

First NameLast Name
Email Address
example@example.com
Phone Number
Format: (000) 000-0000.
Should be Empty:

Student Information