Under the Oaks at Research Park Childcare Center/Early Enrollment
This form is designed for families in need of childcare services in the heart of Huntsville, Research Park and conveniently located .5mile from University Drive. Please provide the necessary information to assist us in your early enrollment. Registration Fee to secure spot is $150.
Email *
Full Name *
Please enter your full name.
Email Address *
Please provide your email address for communication.
Phone Number
Please enter your contact number.
Preferred Enrollment Date *
What date do you wish to enroll your child?
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/
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Child's Name *
What is your child's full name?
Child's Age *
What is your child's age?
Preferred Schedule *
What is your preferred schedule?
Additional Children *
Do you need childcare for additional children? If Yes, how many and what are their ages?
Allergies or Special Needs *
Does your child have any allergies or special needs we should be aware of?
Interest in Programs *
Which programs are you interested in?
Required
Preferred Method of Communication *
How would you prefer us to contact you regarding enrollment?
How Did You Hear About Us? *
Please share how you found out about our childcare center.
Comments or Questions *
Please provide any additional comments or questions you may have.
Emergency Contact Name *
Please provide the name of an emergency contact.
Emergency Contact Phone Number
Please provide the phone number of the emergency contact.
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