Apply for a childcare place by sharing your child's details.
Education template · 13 fields (10 required) · ~3 min for respondents to complete · Free plan · No credit card · Fully customizable
Set up your childcare application form
Apply for a childcare place by sharing your child's details.
Add your ages served, hours, tuition and waitlist process above the form. Edit the schedule options to match your programs. Collect immunization records and custody documents at enrollment, not here.
The form separates phone number, home address, child's full name, child's date of birth into labeled questions. Review the choices and required fields for your organization before sharing it.
Best practices
Add your ages served, hours, tuition and waitlist process above the form. Edit the schedule options to match your programs. Collect immunization records and custody documents at enrollment, not here.
Customize the phone number and home address questions to match your records and terminology.
Name the team that reviews responses and explain what happens after submission. A requested date, service or approval is not automatically confirmed.
Ask only for information needed for this step. Arrange any sensitive supporting documents through an appropriate private process.
Every field, explained
Parent or guardian full name (Name, required)
Email address (Email, required)
Phone number (Phone, required)
Home address (Address, required)
Child's full name (Name, required)
Child's date of birth (Date, required)
Desired start date (Date, required)
Days needed (Multiple choice) — Pick the days you need care. Skip if you chose full time.
Schedule needed (Single choice, required)
Allergies, medical or dietary needs (optional) (Long text)
Is your child toilet trained? (Single choice, required)
Do you have a sibling currently enrolled? (Single choice, required)
Anything else we should know about your child (optional) (Long text)
Frequently asked questions
What does this childcare application form template collect?
Alongside contact details, it asks for phone number, home address, child's full name, child's date of birth, desired start date, days needed, schedule needed, allergies, medical or dietary needs (optional), is your child toilet trained?, do you have a sibling currently enrolled?, anything else we should know about your child (optional). You can rename questions, change choices and remove fields that your workflow does not need.
How should I use this childcare application form form?
Add your ages served, hours, tuition and waitlist process above the form. Edit the schedule options to match your programs. Collect immunization records and custody documents at enrollment, not here.
Can I edit this form and print a copy?
Yes. Open an editable draft, adjust the questions, and review the preview before publishing. You can also use the template page’s print option. Publishing requires an account; the draft can be tried first.