Learning Bugs Preschool

Registration Form

Complete the form below to register your child and schedule a visit to our facility.

Child Information

Child's Name *

Date of Birth *

Gender *

Home Address *

Allergies

Parent/Guardian Information

Mother's Name *

Mother's Cell Phone *

Father's Name *

Father's Cell Phone *

Home Phone

Email Address *

Emergency Contact *

Program Selection *

Select all programs that apply

Nursery/Daycare

4 months - 2 years

7:00 AM - 6:00 PM

Discovery Kids (Toddlers)

Toddlers

8:00 AM - 2:00 PM

Ants (Junior 3+)

3+ years

8:00 AM - 2:00 PM

Dragonflies (Senior 4+)

4+ years

8:00 AM - 2:00 PM

After Care

Discovery Kids to Dragonflies

2:30 PM - 6:00 PM

Schedule Your Visit *

Select a date and time to tour our facility

Visit Date *

Available: Feb 25 - July 24, 2026 (weekdays only)

Visit Time *

Parent/Guardian Consent *

I confirm that all information provided is accurate and complete. I understand that required documents (birth certificate, immunization card, and parent/guardian ID) must be provided during the visit.