Daycare Application Form Template

A daycare application form collects key information from families who want to enroll their child in a childcare program. It typically covers the child's details, parent contact information, scheduling preferences, health notes, and emergency contacts.

A structured application ensures you collect the same information from every family, making it easier to assess capacity, plan staffing, and follow up consistently. It also creates a record from the start of the enrollment relationship.

Gather everything you need to make an informed enrollment decision:

• Child's full name, date of birth, and gender
• Parent or guardian names, contact numbers, and relationship to child
• Preferred start date and schedule (full-time, part-time, specific days)
• Allergies, medical conditions, or special needs
• Emergency contacts and authorized pickup persons
• Previous childcare or preschool experience

You can build in a question asking how many children the family is enrolling, then use conditional logic to repeat the child detail fields for each one. Alternatively, you can ask families to submit a separate application per child, which keeps records cleaner.

Yes. Integrate Typeform with Stripe to add a payment field at the end of the application flow. You can set a fixed fee or use conditional logic to apply different fee amounts based on the program level or application type. For families who qualify for fee waivers, add a conditional branch that skips the payment step when a waiver code is entered or a financial need checkbox is selected.