Child Care from 6 Weeks to 12 Years Registration

To Register, please provide the following information:

Apple Academy location

Jordan Ave.

*First Name:
*Last Name:
*Phone:
Address 1:
Address 2:
City:
State:
Zip Code:
*Email Address:

I WOULD LIKE TO….

ENROLL TODAY!	Speak with the Director before I ENROLL.
Request Employment Information.	Register for a tour.

To help us best meet your needs, please complete the following information:
Name	Birth date	Type of Care
Child name 1:
Child name 2:
Child name 3:
Child name 4:

Apple Academy offers a scholarship program designed to assist families with their childcare expenses while enrolled at Apple Academy. (Restrictions Apply)

Apple Academy Scholarship Program
I would like to find out if I qualify for the Apple Academy Scholarship.

How would you like us to contact you?

Email By Phone

Can we contact you in the future with information about Apple Academy?

Please send me information about new programs and special offers.

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