← All registration formsRegistration contract · 2026–2027

Before & after school

Complete your family’s information, choose care, and sign below. Required fields are marked .

Children & care

Children in this application

Child 1

First name

Middle name (optional)

Last name

Nickname (optional)

Birthday

Age

Boy / girl (optional)

2026–2027 grade

Enrollment

Parent’s name

Street address

City

State

ZIP code

Email address

Main phone number

Cell number (Mom) (optional)

Cell number (Dad) (optional)

Work number (optional)

Choose enrollment for each child to see your tuition.

The non-refundable registration / activity fee is $150 for one child or $200 for a family, due at registration.
Make checks payable to Covenant Child Care. View payment instructions.
Completed medical forms, a birth certificate, and an immunization record must be turned in by the first day of school.

Submit this form online and arrange the registration fee with the office. No payment is collected on this form.

I have reviewed my information, selected care, fees, and the requirements above.

Parent’s signature

Date

Type your full name above to sign this registration contract.

Your information will be sent to the childcare office for registration. The office will follow up about availability and payment.