Thank you for your interest in Day Early Learning!

If you would like to learn more about us before joining our waitlist, check out our informational webinars and FAQ page.

Please complete the form below to tell us about yourself and your child.

If you are interested in enrolling more than one child, please complete this form once and provide the information for the oldest child you would like to enroll.

After completing this form, a Day Early Learning enrollment specialist will reach out to you regarding next steps.

Hidden Fields

Lead Source

Your Contact Information

Please tell us about yourself.

Your Salutation

Your First Name

Your Last Name

Mobile Phone

Preferred Phone

Select your preferred phone number and provide that phone number below.

Preferred Email

Select your preferred email address and provide that email address below.

Employer

If you are not currently employed, please enter "Not Employed".

Your Address

Street Address

City

State

ZIP Code

Country

Child Details

Please tell us about your child. If you are interested in enrolling more than one child, please provide the information for the oldest child you would like to enroll.

Your Child's First Name

Your Child's Last Name

Your Child's Gender

Your Child's Date of Birth

If your child is not yet born, enter the expected date of birth.

Your Relationship to the Child:

Select the option that most accurately describes your relationship to the child.

Enrollment Preferences

Please tell us when you would like to start child care and the Day Early Learning location(s) you are interested in.

Your Child's Desired Start Date

Enter the earliest date you would be interested in your child starting at Day Early Learning.

Select all Day Early Learning centers that could work for your family:

Day Early Learning Federal Building - 575 North Pennsylvania StreetDay Early Learning State Government Center - 100 North SenateDay Early Learning Lilly Family Center - 3522 Central AvenueDay Early Learning at Park 100 - 5735 West 73rd StreetDay Early Learning at Fort Harrison - 5545 Herbert Lord RoadDay Early Learning at IU Health - 2140 Boulevard PlaceDay Early Learning at Eastern Star Church - 5750 East 30th StreetDay Early Learning Center for Infants and Toddlers - 1030 West 16th Street

How Did You Hear About Us?

Are you interested in financial assistance?

Do you have an existing voucher

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