26/27 A Child's Place - First Steps Application New Student

2026-2027

A Child's Place First Steps New Student Application

7:15 AM - 6:00 PM

FULL/PART WEEK (2-day minimum)

APPLICATIONS DO NOT ROLL OVER - YOU MUST REAPPLY EACH NEW SCHOOL YEAR
Child's Name:*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Status of Applicant*

Sibling of currently enrolled child(ren) - Due October 31, 2025Alumni - Due November 5, 202525-26 Waitlist Children - Due November 7, 2025Community applicant - Due November 11, 2025
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact/Guardian Information

First Point of Contact
Primary Contact/Guardian Name

First NameLast Name
Primary Contact/Guardian Phone
Primary Contact/Guardian Phone Type
Primary Contact/Guardian Email
example@example.com
Secondary Contact/Guardian Information
Secondary Contact/Guardian Name

First NameLast Name
Secondary Contact/Guardian Phone
Secondary Contact/Guardian Phone Type
Secondary Contact/Guardian Email
example@example.com
12 Month First Steps Program Interested in:

Babies (Born 9/1/2025 - 8/31/2026)Toddlers (Born 9/1/2024 - 8/31/2025)Older Toddlers (Born 9/1/2023 - 8/31/2024)Preschool (Born 9/1/2021 - 8/31/2023)
Schedule Interested In:

2 days per week3 days per week5 days per weekWe're flexible with days
What is your first choice of days?

MonTuesWedThurFri
What is your second choice for days?

MonTuesWedThurFri
Desired Start Date (if different than 8/24/26)
Check if interested in Financial Aid

Yes
A NON-REFUNDABLE APPLICATION FEE OF $50 MUST BE RECEIVED FOR THIS APPLICATION TO BE PROCESSED (ACCEPTED OR WAITLISTED)

Payment can be made by check or online at https://securepayment.link/achildsplace/
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Primary Contact/Guardian Information

Secondary Contact/Guardian Information