Enroll your little learner

Complete one section at a time. Specialized questions appear only when they apply to your child. Your answers stay saved while you move back and forth before submitting.

1. Child & family2. Schedule3. Health4. Care plan5. Permissions6. Documents7. Deposit8. Review & sign

Child and family

Tell us who will be joining the MLL family.

Child’s full legal name *

Preferred name

Date of birth *

Gender

Home address *

Parent/Guardian 1 name *

Parent/Guardian 1 relationship *

Parent/Guardian 1 phone *

Parent/Guardian 1 email *

Parent/Guardian 1 employer

Parent/Guardian 2 name

Parent/Guardian 2 relationship

Parent/Guardian 2 phone

Parent/Guardian 2 email

Parent/Guardian 2 employer

Authorized pickup people

Add every adult who may pick up your child. Staff will verify identification. You may add up to 10 people.

Authorized pickup 1

Full name *

Relationship to child *

Phone number *

1 of 10 added