Skip Navigation

Request Information

Thank you for your interest in Grace Christian Child Development Center. 

Please complete the form below and someone from our Admissoins Office will reach out soon.

Thank you,

Admissions Office

 

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Gender *
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Gender *
  • Cell Phone *
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • How Did You Hear About Us? *
    Details:

  • Are you an International Student or an agent representing an International Student?

    If you are, please review the information on our website, International Student pages.  Please do not complete the online application since the International Student application has additional responses.

     
    * Yes   No

  • Do you currently have a student enrolled in the Child Development Center?
    * Yes   No

  • Do you currently have a student enrolled in Grace Christian School?
    * Yes   No

  • Are you currently employed by:

    Lee County Government

    Lee County Schools

    City of Sanford
    * Yes   No
  •  
  • Student 1
  • First Name *
    Middle Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •