Enrollment — Highly Favored Angel Academy

First name *

Last name *

Email *

Phone *

Address *

City *

State *

ZIP *

Emergency Contact *

Child First Name *

Child Last Name *

Date of Birth *

Gender *

Allergies / Medical Conditions

Special Instructions

Infant Care

Ages 6w–12m — $150 / week

Toddler Program

Ages 1–3 — $135 / week

Preschool

Ages 3–5 — $125 / week

Desired Start Date *

Schedule Preference *

Full Time (5 days/week) Part Time (3 days/week)

I agree to the terms & privacy.

Enrollment Form