Valley Stream Enrollment

Please fill out this inquiry form if you're interested in enrolling your child. Stay tuned for our official opening date and enrollment events!

Name

First Name

Last Name

Phone

(###)

###

####

What is your child's date of birth?

YYYY

How many days/which days of care are you looking for?

When are you looking to enroll?

Which day works best for you? Please note, tours are typically offered on Mondays.

Does your child receive services? (speech,physical therapy,etc)

Has your child been in child care before?

Approximately what hours of care are needed?

Are you applying or do you have an active case for DSS or ACS?

Does your child have any allergies?/ Does your child have an Epipen?