childcare waitlist

219 E Elm St Hillsboro, TX 76645

254-479-2226

New Family Interest Form

Little Learners Children's Academy currently accepts 6 months to 4 year olds. Located Downtown Hillsboro, Tx.

Parent First Name *

Parent Last Name *

Email *

Phone *

Childs First Name *

Childs Last Name *

Date of birth or due date: *

What age is your child (In months if under 3 years old)?

More than 1 child?

Please list their name/s and date/s of birth below:

Which services are you interested in? (select all that apply) *

Infant Care: 6 months - 18 months

Toddler Care: 19 months- 36 months

Preschool: 3-4 years old

Have you applied for CCS Tuition Assistance? If not, be sure read the Subsidy tab on our website after completing this survey. *

Yes - approved

Yes - not approved

Yes - waitlisted

No - tell me more

No - I'm planning to apply

Submitted successfully!