Requesting extended care | Learning Station Childcare

Interested in part-time care?

Please complete this form to inquire about availability for our 2- or 3-day toddler care options. Part-time enrollment is offered on a consistent weekly schedule and is subject to availability.

*Submission of this form does not guarantee placement or availability

Parent/ Guardian First name

Parent/ Guardian Last name

Child's Date of Birth

Month

Day

Year

Phone

Desired Start Date

Part- Time Schedule Needed

Requested Days of Care

Select the days you are requesting. Part-time enrollment requires a consistent weekly schedule.

Requested Drop-Off Time

Time

HoursMinutes

Requested Pick- Up Time

Time

HoursMinutes

Please note: Drop-off and/or pick-up outside of Learning Station Childcare's core operating hours is subject to an additional extended-care fee.

How did you hear about us?

I understand that part-time enrollment is limited, subject to availability, and is not guaranteed until approved by Learning Station Childcare. Requested days will remain consistent each week.

Additional Care or Schedule Information