Secure your spot today!

We encourage you to fill out the form below as soon as you expect to need care. Depending on how old your child is at your preferred time of enrollment, there may be waitlists. By filling out this form as soon as possible will ensure you are on the top of the waitlist if there is one.

Please provide one submission for each child.

Parent's First Name

Parent's Last Name

Parent's Email

Parent's Phone Number

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Child's First Name

Child's Last Name

Child's Birthdate

MM

DD

YYYY

Preferred Start Date

When you would like your child to start attending Scripps Exploring Academy?

MM

DD

YYYY

Message