If you are interested in enrolling your child, please fill out the form below or download a printable application.  A staff member will contact you as soon as possible with more information. 

You may also stop into the center nearest you at any time.  You will need to bring the following information in with you: proof of income, your child's birth certificate, shot record, and medical insurance. Physical and dental exam forms are available here to be printed or these forms can be given to you at any center.  These forms must be completed before the child can attend our program.

Enrollment Form Dental Form Physical Form


Child Information

Parent Information

Please list all additional people living in your household