LifeHope Childcare- Community Families

This form is for members of the community NOT seeking our single moms LifeHope track. After submitting, you will be contacted regarding a start date or will be added to our waiting list. *Current tuition for the 2025-2026 school year is $240 for our infant room, and $195 for our toddler rooms. *We are always accepting applications for children ages 6 weeks through 3 years old, but not all rooms have openings.

Your name *

Email address *

Phone number

Address

Child 1 Name *

Child 1 Date of Birth *

Child 2 Name

Child 2 Date of Birth

How did you hear about LifeHope Childcare?

You may select all that apply

From a current or former LifeHope family

From Facebook or other social media

From attending service at Northland

Other

Are you a member of Northland?

We are open Monday through Friday from 7:15 am - 6:00 pm. What hours of childcare do you need on Monday? *

Tuesday? *

Wednesday? *

Thursday? *

Friday? *

When are you looking to enroll your child? Please let me know if you have an immediate need, or a certain time frame in mind.

Is there anything else you'd like us to know about your child?