A Step Ahead Child Center

This fee can be submitted via cash or check. All checks must be made out to Elcam, Inc..

Only after the fee is received will your child be added to our waiting list.

Parent Name *

Street Address *

City *

State *

Zip Code *

Home Phone Number *

Mobile Phone Number

Email Address *

Child Name

Date of Birth/Due Date (mm/dd/yyyy) *

Does this child have a sibling enrolled already? If so, enter ther name.

Desired Schedule (hours and days) *

Preferred Enrollment Start Date *

Website

Any other information you wish to provide

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for parents.