2025-2026 A Child's Haven Pre-Registration
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Email *
What is your child's name? *
What is their date of birth? *
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DD
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YYYY
Parent/ Guardian's  Name *
Parent/ Guardian's Phone Number *
Parent/ Guardian's Email Address *
Please select how old your child will be by September 1st  *
What schedule would you prefer? *
What is second choice if your preference is full? *
Do you have an alternative schedule or request?
I understand that classes will enroll on a first-come first-serve basis.  A confirmation email will be sent by the director after the form is submitted.  If the schedule I have chosen is full, I will be contacted by the director to discuss other options.  *
I agree to pay a registration fee of $100 for first child, $50 for each additional sibling. This fee is nonrefundable and is due one week from confirmation of enrollment. This can be paid via check (dropped off to the front office at 600 W. Park St. during regular school hours), Zelle director@childshaven.net or through the Child Pilot app for currently enrolled students. Please note in the memo line or on the envelope your child's name.       

I understand that I will forfeit my spot if registration is not paid.

If extenuating circumstances prevent you from being able to make the payment by this date, please reach out to the director.
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