Employee Child Development Center Enrollment Application

Please complete this application to register your child or grandchild to attend the Crowley ISD Employee Child Development Center.

Spots will be filled on a first-come, first-served basis. If space is not available, the child will be placed on a waiting list.

A $150 non-refundable application fee (per family) is required when the application is submitted. This fee must be paid electronically before your application will be reviewed. Click here to pay the application fee.

Child #1 Information

Child #1 Name *

Date of Birth or Due Date * +

Gender *

Desired Enrollment Date * +

Child #2 Name

Date of Birth or Due Date +

Gender

Desired Enrollment Date +

Child #3 Name

Date of Birth or Due Date +

Gender

Desired Enrollment Date +

Child #4 Name

Date of Birth or Due Date +

Gender

Desired Enrollment Date +

Crowley ISD employee is *

Mother

Father

Grandparent

Contact #1 (CISD employee)

Name *

Relationship to Child *

Place of employment (campus/department): *

Employee ID Number *

Phone Number *

Email Address *

Mailing Address *

Contact #2

Name

Relationship to Child

Phone Number

Email Address

Mailing Address

Have you submitted your $150 non-refundable application fee (per family)? Click here to submit payment *

Yes