Children's Learning Center Application

Green Room

Child's Full Name




Please check the session that you are enrolling your child for:
Gender

*
* Your child must be 15 months old by the first day of the semester.

Name of Person Filling Out Form




Are you on financial aid?
If yes, what kind?
Please select what applies to you:





May we send texts to this number?
Please indicate below the days/times you would like to enroll your child in the Children's Learning Center. All schedules begin ten minutes before the hour.
For example, if you are in a class from 1-2:20 p.m., you would contract from 12:50-2:50 p.m.
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A non-refundable Registration Fee for the Green Room is $25 per semester (Fall and Spring). Fees must be paid before your child’s first day in the Green Room. All fees and payments are to be paid in Registration (A-258), either in person or over the phone by calling (815) 455-8588. Payments cannot be made through the Lillio app.