Franklin Children's Center Pre-Registration Form
Thank you for your interest in the services we offer at Franklin Children's Center. This form is for informational purposes only and does NOT guarantee your child a spot or a schedule in our program. For more program details, visit our website at franklinchildrenscenter.com.

To communicate interest in enrollment, please fill out and submit the Pre-Registration form below. You will be notified via email within 10 business days of your child’s enrollment status.

Children are accepted into our program based on availability in their age group and the days and times you request in the form above. Priority is given to children who are currently enrolled and the children of employee's of Franklin Discovery Academy.
Email address *
Parent Contact Information
We will use this information to contact you concerning enrollment status.
First Name : *
Your answer
Last Name : *
Your answer
Phone Number : *
Your answer
Relationship to child : *
Your answer
Child Information
Please fill out a separate form for each child.
First Name : *
Your answer
Last Name : *
Your answer
Sex : *
Child's Date of Birth : *
MM
/
DD
/
YYYY
My child has received all of their required immunizations. (Our program requires that all children are current with their immunizations. We do not accept Health Department Exemption forms.) *
If the child you are enrolling is the son or daughter of a Franklin Discovery Employee, Board Member, or Founding Family please provide the first and last name and title of the parent below :
Your answer
Scheduling Information
This form is for informational purposes only and does NOT guarantee your child a spot or a schedule in our program.
I would like my child to attend :
As of September 1, 2020, my child will be in the :
What days would you like your child to attend?
What time would you like to drop off your child?
Time
:
What time would you like to pick up your child?
Time
:
A copy of your responses will be emailed to the address you provided.
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