Please fill out the form below to apply for enrollment. We will [reach out to you in some manner] within [set amount of time] to discuss bringing your child into our development center.

If you would prefer to fill out a paper enrollment application, please print this document out and bring it in to our center at 50 West Market St, Campbelltown, PA 17078.

If you have questions, contact us here or call us at (717) 838-6211.

    Child's Information

    Second Child's Information (optional)

    Parent/Guardian Information

    2nd Parent/Guardian Information

    Full time or part time?

    Full Time (5 to 10 hours a day)Part Time (1 to 5 hours a day)

    Once you've filled out this form, we will reach out to you regarding the next steps for your child's enrollment. Visit the Policies and Forms page for more information about policies at our center, and for printable links to various forms you may choose to fill out prior to meeting with us.


    Please note that there isĀ  registration fee of $40 due by the time of enrollment, and $25 for additional children (non-refundable). If you have more than two children to register, you will have to fill out this form for each additional child(ren). Make sure you hit "Send" before leaving the page to fill out forms for other children. If you have questions, please call us at (717) 838-6211