First Christian Church Child Care Center
Family portal
Step 1
: Information
Step 2
: Payment
Step 3
: Review
Child
Child
Adult
First Name
*
Last Name
*
Birthdate
*
Parent/Guardian Name
*
Phone #
*
Email
*
Will you be receiving Government Subsidy for child care?
*
yes
no
Do you have any children currently enrolled at the center?
*
Yes
No
Are you active member of First Christian Church?
*
Yes
No
(Leave Blank for SUMMER Waitlist) Do you require before/after care for school?
Yes
No
(Leave Blank for SUMMER Waitlist) If your child is in school-age, what school do they attend?
(Leave Blank for SUMMER Waitlist) Does your child need transportation to/from school?
Yes
No
Comments
Phone # Alternate
Add to List
Waiting List
Auto-select based on Age
Summer
Remove from List
Requested Start Date
*
Auto-select based on Age
Summer
Remove from List
Requested Start Date
*
Save
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