Z 26/27 A Child's Place - 10 Month Application Current Student

2026-2027 A Child's Place

10 Month Application

TWOS, THREES AND FOURS

Current Student
Child's Name

First NameLast Name
Date of Birth*

MonthDayYear
Date
Today's Date*

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact/Guardian

First NameLast Name
Primary Contact/Guardian Relationship to Child
Primary Contact/Guardian Phone
Format: (000) 000-0000.
Primary Contact/Guardian Phone Type
Primary Contact/Guardian Email
example@example.com
Secondary Contact/Guardian

First NameLast Name
Secondary Contact/Guardian Relationship to Child
Secondary Contact/Guardian Phone
Format: (000) 000-0000.
Secondary Contact/Guardian Phone Type
Secondary Contact/Guardian Email
example@example.com
Twos Program - 2 years by 9/1/26 (birthday range: 9/1/23 - 8/31/24)Threes Program - 3 years by 9/1/26 (birthday range: 9/1/22- 8/31/23)Fours Program - 4 years by 9/1/26 (birthday range: 9/1/21- 8/31/22)
Currently Enrolled - Application due by October 13, 2025Sibling of currently enrolled child(ren) - Application due by October 17, 2025Alumni child at ACP - Application due by October 21, 2025
TWOS MON - FRI (9:00 - 12:30) $16,900 per year**
Please indicate First, Second or Third Choice
TWOS MON/WED/FRI (9:00 - 12:30) $10,100 per year**
Please indicate First, Second or Third Choice
TWOS TUES/THURS (9:00 - 12:30) $7,150 per year**
Please indicate First, Second or Third Choice
EXTENDED PLAY - 12:30 - 1:30 PM
MondaysTuesdaysWednesdaysThursdaysFridays
** 2025-2026 Tuition Charges
THREES MON/WED/FRI (8:45 - 1:00) $8,800 per year**
Please indicate First or Second Choice
THREES MON - FRI (8:45 - 1:00) $12,900 per year**
Please indicate First or Second Choice
EXTENDED PLAY - 1:00 - 2:00 PM
MondaysTuesdaysWednesdaysThursdaysFridays
** 2025-2026 Tuition Charges
FIVE MORNINGS (8:45 - 1:30)
EXTENDED PLAY - 1:30 - 3:15 PM
MondaysTuesdaysWednesdaysThursdaysFridays
** 2025-2026 Tuition Charges
Signed*

Clear
A NON-REFUNDABLE FEE OF $50 MUST BE RECEIVED FOR THIS APPLICATION TO BE PROCESSED. Payment can be made by check to A Child's Place or online at

https://securepayment.link/achildsplace/.
Date*

MonthDayYear
Date
Should be Empty:

** 2025-2026 Tuition Charges

** 2025-2026 Tuition Charges

** 2025-2026 Tuition Charges