Kidz Space Early Risers Pre-Enrollment
Share your family and care schedule details so we can confirm availability and next steps.
Pre-Enrollment Form
Early mornings just got easier. Kidz Space Early Risers is designed for working families who need dependable care before the traditional school day begins. Care begins as early as 5:00 AM, giving children a safe, comfortable start to their morning before school. Complete this short form to join our pre-enrollment list and help us finalize scheduling, school transportation routes, and program availability. AUGUST ENROLLMENT SPECIAL $95/week during August 2026 Regular Rate: $115/week beginning September 2026 One-Time Enrollment Fee: $50 Hours: Care begins as early as 5:00 AM Days: Monday–Friday School Transportation: Available based on school location and route availability Submitting this form does not require payment or guarantee placement. Our team will contact you regarding availability and next steps.
Parent/Guardian Information
Parent/Guardian Full Name
*
First Name
Middle Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Preferred Contact Method
Text
Phone
Email
Child Information
Child's Full Name
*
First Name
Middle Name
Last Name
Child's Age
*
Grade for the 2026–2027 School Year
*
What School Does the Child Attend?
*
Early Risers Care Needs
Typical drop-off time
*
5:00 AM
5:30 AM
6:00 AM
6:30 AM
7:00 AM or later
My drop-off time varies
Days needed for care
*
Monday
Tuesday
Wednesday
Thursday
Friday
Anticipated frequency of care
*
5 days per week
3–4 days per week
1–2 days per week
Occasionally/as needed
My schedule varies
Transportation from Kidz Space to school needed?
*
Yes
No
Not sure yet
Child's school start time
Hour Minutes
AM
PM
AM/PM Option
Time students may begin entering the school
Hour Minutes
AM
PM
AM/PM Option
Care Needs and Timing
Primary reason for needing early morning care
*
Early work schedule
Healthcare/medical work schedule
Shift work
School/college schedule
Commute
Other
Would you use care beginning as early as 5:00 AM?
*
Yes, definitely
Possibly
No, I would need a later start time
Desired start time for Early Risers care
*
As soon as available
Within the next 30 days
Later this school year
I'm gathering information for now
Additional Programs and Notes
Which additional Kidz Space programs are you interested in?
After-School Enrichment Programs
Evening Enrichment Programs
School Break & Holiday Programs
Summer Programs
Early Risers Only
Not at this time
Additional notes
Enrollment Interest and Acknowledgment
Are you ready to enroll at the $95/week August rate?
*
Yes, I'm ready to enroll
Yes, please contact me with next steps
I'm interested, but I need more information
Acknowledgment
*
I understand that this is a pre-enrollment form and does not guarantee placement. I would like Kidz Space to contact me regarding Early Risers availability, transportation eligibility, enrollment, and next steps.
Submit
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