| Graceachild USA

Reservation Form

Welcome to Grace-A-Child USA Academy! Thank you for starting your child’s enrollment with us. Reserve your child’s spot in our program by submitting this form along with a non-refundable $100 fee. This reservation holds your child’s place for up to 6 months, giving your family time to plan with confidence. Availability is limited, and spots are held on a first-come, first-served basis. We look forward to welcoming your family!

Select Your Grace-A-Child USA Academy Location(Required)

Parent(s)/Legal Guardian(s) Contact Information:

1st Parent's Information:(Required)

Prefix First Last

1st Parent's Relationship to Child:(Required)

2nd Parent's Cellphone Number:(Required)

1st Parent's Email:(Required)

2nd Parent's Information:

Prefix First Last

2nd Parent's Relationship to Child:

1st Parent's Cellphone Number:

2nd Parent's Email:

Child's Information

How many children are you reserving?(Required)

If more than 2, you will need to complete another reservation form.

Desired Start Date:(Required)

Child's Name:(Required)

(If name is still to be decided use “baby” as the first name)

First Last

Date of Birth/Due Date:(Required)

Childcare Program Preference:(Required)

Indicate which childcare program you prefer your child to attend.

2nd Child's Name:(Required)

(If name is still to be decided use “baby” as the first name)

First Last

2nd Child's Date of Birth/Due Date:(Required)

Childcare Program Preference:(Required)

Indicate which childcare program you prefer your child to attend.

Child's Home Address:(Required)

Street Address Address Line 2 City State ZIP Code

Does your child currently have siblings attending our Academy?(Required)

Name of Sibling:

First Last

New Child Enrollment Checklist

Please ensure the following items are completed and submitted before your child’s first day:

Completed enrollment form (due at least 2 weeks before start date)
Copy of your child’s birth certificate
School Entrance Health Form (must be completed by a physician – downloadable from our website)
Up-to-date immunization records
$100 registration fee (non-refundable)
First week’s tuition payment
Brightwheel account set up

An invitation to join Brightwheel will be sent to your email once your reservation form has been processed. Please watch your inbox (and check your spam folder just in case) to complete your account setup.

Note: Payments for the registration fee and tuition can be made through the Brightwheel tuition platform.

If you have any questions or need assistance with any step, please don’t hesitate to contact us. We’re here to help!