Official Enrollment

Application For Admission

Please complete all required fields below to submit your child's enrollment application to Little Creators Planet.

👶 1. Child Details

Name of Child *

Birthdate *

Desired Enrollment Date *

Program Applying For *

👨‍👩‍👧 2. Parent / Guardian Information

Parent / Guardian #1 (Primary Residence)

Full Name *

Relationship to Child *

Cell Phone *

Home Phone

Email Address *

Home Address *

Employer Name

Work Phone

Parent / Guardian #2 (Optional / Secondary)

Full Name

Relationship to Child

Cell Phone

Home Phone

Email Address

Home Address

Employer Name

Work Phone

🚨 3. Emergency Contacts & Authorized Pick-up

Persons authorized to pick up your child and/or contact in case of emergency if parents cannot be reached.

Contact #1

Full Name *

Relationship *

Cell Phone *

Contact #2

Full Name

Relationship

Cell Phone

Contact #3

Full Name

Relationship

Cell Phone

⚖️ 4. Custody Information

Name of person PROHIBITED from picking up your child (if applicable): If a non-custodial parent has been denied or granted limited access by a court order, please submit supporting legal documentation for our records.

📋 5. Permissions & Authorizations

A. Walking Trips Permission:

I give permission for my child to participate in walking trips within the center's neighborhood using safe routes.

I DO NOT give permission for walking trips.

B. Photography & Media Permission:

I give permission for my child to be photographed during daycare hours, activities, and events for center updates and promotions.

I DO NOT give permission for photos.

✍️ 6. Attestation & Electronic Signature

I (we) attest that all information on this application is accurate and truthful. I understand that submitting this application initiates the enrollment process at Little Creators Planet.

Parent / Guardian Signature (Type Full Name) *

Date *

Our admissions director will review your submission and contact you within 24–48 hours.