Interest Form: Campus 1 - Child Care

Campus address: 20901 E Smoky Hill Rd, Centennial, CO 80015

By completing the following registration form, you confirm your intent to enroll your child(ren) in our child care program.

Child Care Hours: Monday-Friday, 7:00 AM - 6:00 PM
Drop-in Care Available: Saturdays - Learn More Here

Intent to enroll will be processed on a first come, first served basis. We encourage families to complete the form early to hold a seat at our child care center. For questions and more information, please contact us at (720)-987-1177

Parent/Guardian name

First Name

Last Name

Phone number

(###)

###

####

Email address

Child's Name

Please complete a separate form for every child

First Name

Last Name

Your child's date of birth

MM

DD

YYYY

What program are you interested in?

Half Day

Full Day

Extended Day

Preschool 3 y.o.

Summer

How did you hear about us?

Interest Form: Campus 1 - Child Care

Novastar Kids Co