Franklin Children's Center Pre-Registration Form

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Thank you for your interest in the services we offer at Franklin Children's Center. This form is for informational purposes only and does NOT guarantee your child a spot or a schedule in our program. For more program details, visit our website at franklinchildrenscenter.com.

To communicate interest in enrollment, please fill out and submit the Pre-Registration form below.

Children are accepted into our program based on availability in their age group and the days and times you request in the form above. Priority is given to children who are currently enrolled and the children of employees of Franklin Discovery Academy.

Email *

Parent Contact Information

We will use this information to contact you concerning enrollment status.

First Name : *

Last Name : *

Phone Number : *

Relationship to child : *

Child Information

Please fill out a separate form for each child.

First Name : *

Last Name : *

Sex : *

Female

Male

Child's Date of Birth : *

YYYY

My child has received all of their required immunizations. Our program requires that all children are current with their immunizations. *

Yes

If the child you are enrolling is the son or daughter of a Franklin Discovery Employee, Board Member, or Founding Family please provide the first and last name and title of the parent below :

Scheduling Information

This form is for informational purposes only and does NOT guarantee your child a spot or a schedule in our program.

I would like my child to attend : *

for the 2023 - 2024 School Year (August - May)

Summer Camps 2024 (June 6th - July 28th)

for the 2024 - 2025 School Year (August - May)

Required

As of September 1, 2023, my child will be in the : *

Infant Class (6 weeks - 12 months)

Toddler Class (12 months - 24 months)

2 Year Old Class

3 Year Old Class

4 Year Old Class

Kinder Care Class (A Kindergarten student who needs care before or after they attend Kindergarten at FDA)

Other:

What days would you like your child to attend? *

Monday

Tuesday

Wednesday

Thursday

Friday

Required

What time would you like to drop off your child? *

Time

What time would you like to pick up your child? *

Time

If there's any additional information you need to communicate about your child's schedule, please do so here.

A copy of your responses will be emailed to the address you provided.

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