Child Care Application
After you fill out this application, we will contact you to go over details and availability. If you would like faster  and more direct information on enrollment and pricing please contact us at LittleStarofOurs@gmail.com! Please fill out the application and complete the fee payment to be added to our waitlist for future child care.
Sign in to Google to save your progress. Learn more
Email *
Today's Date
MM
/
DD
/
YYYY
Desired Child Care Start Date? *
MM
/
DD
/
YYYY
Desired Child Care Slot
Clear selection
Days of the Week *
Required
Parent's Full Name(s) *
Parent's  Date of Birth *
MM
/
DD
/
YYYY
Marital Status *
Ethnicity *
Primary Language Spoken? *
Parent's Email Address *
Parent's Contact Number *
Preferred contact method *
Required
Parent's Occupation(s) *
Name of Company, Employer, and/or School *
Parent's Highest Level of Education *
Family Income Bracket *
Does your family require income-based or a sliding scale tuition plan? *
Child's Full Name *
Child's Sex *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's previous child care experience or program? *
Why are you looking to enroll at Little Star of Ours daycare now or in the future? *
How did you find  or hear about Little Star of Ours? *
Referred by
Questions and comments *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy