TLD Enrollment 2026/27 Program Year

TLD Enrollment 2026/27 Program Year
Please complete one form per student. A non-refundable Enrollment Fee of $150 ($50 for the Community Membership) is required to secure placement; payment may be made by Cash/Check (payable to The Learning Den) or Zelle (admin@thelearningden.net). Classes start Tuesday, September 15, 2026. Parent Orientation Monday, September 7 at 6:00pm.
Email
Child’s First & Last Name

First NameLast Name
Nickname
Child's date of birth

MonthDayYear
Date
Child's Age for 2026/27 Program Year
Which program will your child attend?
Are you in need of Financial Assistance?
How would you like to pay?
Parent/Guardian Information
Mother's Name

First NameLast Name
Father's Name

First NameLast Name
Email Address
Secondary Email
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
I would be interested in joining our Parent Board?
I would be interested in volunteering during regular program hours?
Should be Empty:

Parent/Guardian Information