Child Care Interest  (Fall 2027)

Parent/Guardian Name *

First

Last

Email *

Phone Number

Child's Name

First

Last

Child(ren)'s Date of Birth *

mm/dd/yy

Care Needs

• Full Time
• Part Time
• Before/After School Care

Program Interest

• Infant Care
• Toddler Care
• Preschool Care
• School Age Care

Additional Programs Interest

• Gymnastics Classes
• Open Gyms
• Ninja Classes
• Upcoming Events (Preschool/School Age)

Do you currently attend Triad?

• Yes
• No

Tell us a little about your child(ren) and what you’re looking for in child care:

How did you hear about Triad Kids Campus?

Would you like to receive updates and priority enrollment info?

• Yes
• No Thank you

Submit