Explorers Learning Center Application
Please feel free to email office@explorerslc.org to inquire about your application
Parent/ Guardian Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Child #1 Name
*
First Name
Last Name
Child #1 Birthday
*
-
Month
-
Day
Year
Date Picker Icon
Classroom that best reflects your child
*
Sprouts: 6 weeks-14 Months ( pre-walking)
Juniper: 12 months (Walking Stable) to 20 months
Aspen: 18 months-27 Months
Pine: 27 Months-36 Months Young Preschool
Maple: 3-4 Year old Tuition Preschool
G.S.R.P Free/reduced Preschool Student is 4 by Sep 1st 2023 ( Bubble Babies Dec 1st, 2023)
Child #2 Name
First Name
Last Name
Child #2 Birthday
-
Month
-
Day
Year
Date Picker Icon
Classroom that best reflects your child
Sprouts: 6 weeks-14 Months ( pre-walking)
Juniper: 12 months (Walking Stable) to 20 months
Aspen: 18 months-27 Months
Pine: 27 Months-36 Months Young Preschool
Maple: 3-4 Year old Tuition Preschool
G.S.R.P Free/reduced Preschool Student is 4 by Sep 1st 2023 ( Bubble Babies Dec 1st, 2023)
Child #3 Name
First Name
Last Name
Child #3 Birthday
-
Month
-
Day
Year
Date Picker Icon
Classroom that best reflects your child
Sprouts: 6 weeks-14 Months ( pre-walking)
Juniper: 12 months (Walking Stable) to 20 months
Aspen: 18 months-27 Months
Pine: 27 Months-36 Months Young Preschool
Maple: 3-4 Year old Tuition Preschool
G.S.R.P Free/reduced Preschool Student is 4 by Sep 1st 2023 ( Bubble Babies Dec 1st, 2023)
Desired start date
Full or Part-time Care needed?
Full Time Monday-Friday 8 hour days
Part-Time (3 days)
If part time, what days are you requesting?
Monday
Tuesday
Wednesday
Thursday
Friday
I'm flexible
Please choose desired drop off time for your child/ren
7:00 a.m
7:30 a.m
8:00 a.m
8:30 a.m
9:00 a.m
Please choose your desired pick up time for your child/ren
3:00 p.m
3:30 p.m
4:00 p.m
4:30 p.m
5:00 p.m
5:30 p.m
Please check any programs that apply for your family
DHS
Tri-Share
Submit
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