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Child Care Interest Form

To inquire about availability at our center, please complete this interest form and the director will respond to you. Enrollment in our programs is a 3 STEP Process, please review our Enrollment Checklist (PDF, 228KB).

Parent Information
Example: 55555
Example: (000) 000-0000
Schedule for 2-3 years of age
Please use the following scheduling form if your child is between the ages of 2-4 years and NOT enrolled in the Madison Metropolitan School District 4-Year old Kindergarten programming.
ALL DAY (7:15 - 4:30)HALF DAY (7:15 - 12:30)NONE
Monday
Tuesday
Wednesday
Thursday
Friday
Schedule for 4K Wrap Around Care
Complete for children who are eligible or enrolled in the 4 Year Old Kindergarten program through the Madison Metropolitan School District.
BEFORE CARE (7:15-9:00)AFTER CARE (12:00-4:30)BEFORE & AFTER CARE (7:15-4:30)4K ONLY (9:00 - 12:00)
Monday
Tuesday
Wednesday
Thursday
Friday
Child Information
Are you interested in or would you be receiving any outside funding? (Example, county assistance, City of Madison, etc.)