GSLA Enrollment Application

Online Enrollment Application

Complete this short application for Golden Steps Learning Academy and submit it to begin the enrollment process.
Child Information
Child Information
Parent/Guardian Information
Parent/Guardian Full Name

First NameMiddle NameLast Name
Relationship to Child(ren)
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Second Parent/Guardian Full Name

First NameMiddle NameLast Name
Second Parent/Guardian Relationship
Second Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Second Parent/Guardian Email Address
example@example.com
Enrollment Information
How do you plan to pay for childcare?
Have you toured Golden Steps Learning Academy?
How did you hear about us?
Is there anything else you would like us to know about your family or child(ren)?
Acknowledgment
I understand that submitting this application does not guarantee enrollment or classroom placement. Enrollment is subject to availability, completion of all required enrollment documents, and acceptance by Golden Steps Learning Academy.
Parent/Guardian Electronic Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Online Enrollment Application