CHILDCARE · CONTACT FORM TEMPLATE

Daycare Enrollment Inquiry Form

Quality daycares run waitlists. The enrollment inquiry form captures child age, start date, and schedule preference so the director can quote a slot — or place the family on the waitlist with realistic timing.

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form.htmlhtml44 lines

01<form action="https://splitforms.com/api/submit" method="POST">
02  <input type="hidden" name="access_key" value="YOUR_ACCESS_KEY">
03  <input type="hidden" name="subject" value="New enrollment inquiry">
04 
05  <label for="parent_name">Parent name *</label>
06  <input id="parent_name" type="text" name="parent_name" placeholder="Sofia Reis" required>
07  <label for="email">Email *</label>
08  <input id="email" type="email" name="email" placeholder="sofia@example.com" required>
09  <label for="phone">Phone *</label>
10  <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
11  <label for="child_name">Child's name</label>
12  <input id="child_name" type="text" name="child_name" placeholder="Mira">
13  <label for="child_age">Child's age *</label>
14  <select id="child_age" name="child_age" required>
15    <option value="">Choose…</option>
16    <option>Infant (0–12 mo)</option>
17    <option>Toddler (1–2)</option>
18    <option>Preschool (3–4)</option>
19    <option>Pre-K (4–5)</option>
20    <option>School-age</option>
21  </select>
22  <label for="start_date">Desired start date *</label>
23  <input id="start_date" type="date" name="start_date" required>
24  <label for="schedule">Schedule needed *</label>
25  <select id="schedule" name="schedule" required>
26    <option value="">Choose…</option>
27    <option>Full-time (5 days)</option>
28    <option>Part-time (3 days)</option>
29    <option>Half-days only</option>
30    <option>After-school</option>
31    <option>Drop-in / occasional</option>
32  </select>
33  <label for="notes">Anything we should know?</label>
34  <textarea id="notes" name="notes" placeholder="Allergies, special needs, sibling discounts, tour preferences…"></textarea>
35 
36  <!-- honeypot — bots fill every field -->
37  <input type="checkbox" name="botcheck" style="display:none" tabindex="-1" autocomplete="off">
38 
39  <button type="submit">Send</button>
40</form>
41 
42<p style="margin-top:12px;font-size:11px;color:#888;text-align:right">
43  Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="noopener">splitforms</a>
44</p>

1,000

submissions / mo, free

fields, ready to ship

code outputs

60s

from copy to inbox

Daycare Enrollment Inquiry Form — example splitforms template with submissions inbox

§ 01Why it mattersthe qualifying-fields argument

Daycares operate under state-mandated child-to-staff ratios (often 1:4 for infants, 1:6 for toddlers, 1:10 for preschool) which cap enrollment exactly. The result is a permanent waitlist culture — quality centers in cities have 6-18 month waitlists for infant rooms. Tuition runs $1,500-3,000/month per child. The form captures child date of birth (which determines which classroom), requested start date (which determines waitlist position), schedule (full-time / part-time / drop-in), and allergies / medical notes. The director's reply quotes a tour slot or a waitlist position — both are real outcomes that the family appreciates over a generic 'we'll be in touch'.

Webhooks into Brightwheel / Procare / HiMama · waitlist-aware auto-responses.

✦ at a glance

→Daycare / preschool enrollment inquiry · 8 fields
→HTML, JS, React, PHP, cURL outputs
→One POST endpoint, no SDK
→Honeypot + classifier, no CAPTCHA

§ 02Live previewinteractive · sandboxed · no key required

See exactly what your visitors see — and you’ll receive.

Left: the rendered form, fully interactive in a sandboxed iframe. Right: the email and dashboard view that lands the moment a visitor submits.

preview · daycare-enrollment-formlocalhost:3000

✦ what you’ll see in your inbox

Every submission becomes an email plus a dashboard row. The fields below are the exact payload your form will send. Reply-to is wired to the visitor’s email so hitting reply goes back to them.

dashboard · new submission14ms · 200 OK

SUBJECT · New enrollment inquiry

Parent name: Maya Iyer
Email: maya@studio71.co
Phone: +1 415 555 0142
Child's name: Maya Iyer
Child's age: Infant (0–12 mo)
Desired start date: 2026-05-15
Schedule needed: Full-time (5 days)
Anything we should know?: Loved your last open house in Hayes — looking for similar with parking. Pre-approved through Wells Fargo.

Iframe is sandboxed — submit doesn’t actually fire. Get your access key to wire it up live.

§ 03Three steps3 steps · ~60 seconds

Generate, embed, receive.

Three actions stand between you and your first lead. None of them require a backend, a database, or a CAPTCHA library.

STEP 01GENERATE

Capture child age and start date

Required: child name, date of birth, requested start date, schedule (full-time / part-time / drop-in days). DOB determines classroom; start date determines waitlist position.

Create your form

key=sk_live_••••••••

STEP 02EMBED

Note allergies and medical

Field for allergies, dietary restrictions, IEP/IFSP status, and any medical notes. Centers with peanut-free or gluten-free protocols filter at this point — saves a tour for a misaligned family.

snippethtml

<form action="https://splitforms.com/api/submit" method="POST">
  …
</form>

STEP 03RECEIVE

Schedule the tour or waitlist

Auto-respond with current availability — either a tour-booking Calendly link for open classrooms or a transparent waitlist position with realistic timing. Honesty here builds the trust the rest of the relationship runs on.

inbox · 1 newjust now

FROM contact@yoursite.com

New enrollment inquiry

Maya Iyer maya@studio71.co

Loved your last open house in Hayes — looking for similar with parking. Pre-approved through Wells Fargo.

§ 04Copy & ship5 languages · same endpoint

Five outputs. One backend.

HTML by default. Click open the language you ship in — every variant POSTs to the same /api/submit endpoint.

01HTMLform.html44 lines

<form action="https://splitforms.com/api/submit" method="POST">
  <input type="hidden" name="access_key" value="YOUR_ACCESS_KEY">
  <input type="hidden" name="subject" value="New enrollment inquiry">

  <label for="parent_name">Parent name *</label>
  <input id="parent_name" type="text" name="parent_name" placeholder="Sofia Reis" required>
  <label for="email">Email *</label>
  <input id="email" type="email" name="email" placeholder="sofia@example.com" required>
  <label for="phone">Phone *</label>
  <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
  <label for="child_name">Child's name</label>
  <input id="child_name" type="text" name="child_name" placeholder="Mira">
  <label for="child_age">Child's age *</label>
  <select id="child_age" name="child_age" required>
    <option value="">Choose…</option>
    <option>Infant (0–12 mo)</option>
    <option>Toddler (1–2)</option>
    <option>Preschool (3–4)</option>
    <option>Pre-K (4–5)</option>
    <option>School-age</option>
  </select>
  <label for="start_date">Desired start date *</label>
  <input id="start_date" type="date" name="start_date" required>
  <label for="schedule">Schedule needed *</label>
  <select id="schedule" name="schedule" required>
    <option value="">Choose…</option>
    <option>Full-time (5 days)</option>
    <option>Part-time (3 days)</option>
    <option>Half-days only</option>
    <option>After-school</option>
    <option>Drop-in / occasional</option>
  </select>
  <label for="notes">Anything we should know?</label>
  <textarea id="notes" name="notes" placeholder="Allergies, special needs, sibling discounts, tour preferences…"></textarea>

  <!-- honeypot — bots fill every field -->
  <input type="checkbox" name="botcheck" style="display:none" tabindex="-1" autocomplete="off">

  <button type="submit">Send</button>
</form>

<p style="margin-top:12px;font-size:11px;color:#888;text-align:right">
  Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="noopener">splitforms</a>
</p>

02JavaScriptform.js60 lines

<form id="lf-form">
  <label for="parent_name">Parent name *</label>
  <input id="parent_name" type="text" name="parent_name" placeholder="Sofia Reis" required>
  <label for="email">Email *</label>
  <input id="email" type="email" name="email" placeholder="sofia@example.com" required>
  <label for="phone">Phone *</label>
  <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
  <label for="child_name">Child's name</label>
  <input id="child_name" type="text" name="child_name" placeholder="Mira">
  <label for="child_age">Child's age *</label>
  <select id="child_age" name="child_age" required>
    <option value="">Choose…</option>
    <option>Infant (0–12 mo)</option>
    <option>Toddler (1–2)</option>
    <option>Preschool (3–4)</option>
    <option>Pre-K (4–5)</option>
    <option>School-age</option>
  </select>
  <label for="start_date">Desired start date *</label>
  <input id="start_date" type="date" name="start_date" required>
  <label for="schedule">Schedule needed *</label>
  <select id="schedule" name="schedule" required>
    <option value="">Choose…</option>
    <option>Full-time (5 days)</option>
    <option>Part-time (3 days)</option>
    <option>Half-days only</option>
    <option>After-school</option>
    <option>Drop-in / occasional</option>
  </select>
  <label for="notes">Anything we should know?</label>
  <textarea id="notes" name="notes" placeholder="Allergies, special needs, sibling discounts, tour preferences…"></textarea>
  <button type="submit">Send</button>
</form>

<p style="margin-top:12px;font-size:11px;color:#888;text-align:right">
  Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="noopener">splitforms</a>
</p>

<script>
  document.getElementById('lf-form').addEventListener('submit', async (e) => {
    e.preventDefault();
    const data = new FormData(e.target);
    data.set('access_key', 'YOUR_ACCESS_KEY');
    data.set('subject', 'New enrollment inquiry');

    const res = await fetch('https://splitforms.com/api/submit', {
      method: 'POST',
      body: data,
      headers: { Accept: 'application/json' },
    });

    const json = await res.json();
    if (json.success) {
      e.target.reset();
      alert('Sent!');
    } else {
      alert('Error: ' + (json.message || 'Try again'));
    }
  });
</script>

03React / Next.jsForm.tsx75 lines

'use client';

import { useState, type FormEvent } from 'react';

export default function DaycareEnrollmentForm() {
  const [status, setStatus] = useState<'idle' | 'sending' | 'sent' | 'error'>('idle');

  async function onSubmit(e: FormEvent<HTMLFormElement>) {
    e.preventDefault();
    setStatus('sending');

    const data = new FormData(e.currentTarget);
    data.set('access_key', 'YOUR_ACCESS_KEY');
    data.set('subject', 'New enrollment inquiry');

    const res = await fetch('https://splitforms.com/api/submit', {
      method: 'POST',
      body: data,
      headers: { Accept: 'application/json' },
    });

    const json = await res.json();
    setStatus(json.success ? 'sent' : 'error');
    if (json.success) e.currentTarget.reset();
  }

  if (status === 'sent') return <p>Thanks — we&rsquo;ll be in touch.</p>;

  return (
    <>
    <form onSubmit={onSubmit}>
      <label htmlFor="parent_name">Parent name *</label>
      <input id="parent_name" type="text" name="parent_name" placeholder="Sofia Reis" required />
      <label htmlFor="email">Email *</label>
      <input id="email" type="email" name="email" placeholder="sofia@example.com" required />
      <label htmlFor="phone">Phone *</label>
      <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required />
      <label htmlFor="child_name">Child's name</label>
      <input id="child_name" type="text" name="child_name" placeholder="Mira" />
      <label htmlFor="child_age">Child's age *</label>
      <select id="child_age" name="child_age" required>
        <option value="">Choose…</option>
        <option>Infant (0–12 mo)</option>
        <option>Toddler (1–2)</option>
        <option>Preschool (3–4)</option>
        <option>Pre-K (4–5)</option>
        <option>School-age</option>
      </select>
      <label htmlFor="start_date">Desired start date *</label>
      <input id="start_date" type="date" name="start_date" required />
      <label htmlFor="schedule">Schedule needed *</label>
      <select id="schedule" name="schedule" required>
        <option value="">Choose…</option>
        <option>Full-time (5 days)</option>
        <option>Part-time (3 days)</option>
        <option>Half-days only</option>
        <option>After-school</option>
        <option>Drop-in / occasional</option>
      </select>
      <label htmlFor="notes">Anything we should know?</label>
      <textarea id="notes" name="notes" placeholder="Allergies, special needs, sibling discounts, tour preferences…" />

      <button type="submit" disabled={status === 'sending'}>
        {status === 'sending' ? 'Sending…' : 'Send'}
      </button>

      {status === 'error' && <p>Something went wrong. Try again.</p>}
    </form>

      <p style={{ marginTop: 12, fontSize: 11, color: '#888', textAlign: 'right' }}>
        Powered by <a href="https://splitforms.com" target="_blank" rel="noopener" style={{ color: '#888', textDecoration: 'none' }}>splitforms</a>
      </p>
    </>
  );
}

04PHPsubmit.php28 lines

<?php
// Drop into a PHP page. Receives a form POST and proxies it to splitforms.com.
// Useful when you want to add server-side validation or rate limiting.

if ($_SERVER['REQUEST_METHOD'] === 'POST') {
    $allowed = ['parent_name', 'email', 'phone', 'child_name', 'child_age', 'start_date', 'schedule', 'notes'];
    $payload = ['access_key' => 'YOUR_ACCESS_KEY'];
    $payload['subject'] = 'New enrollment inquiry';

    foreach ($allowed as $f) {
        if (isset($_POST[$f])) $payload[$f] = $_POST[$f];
    }

    $ch = curl_init('https://splitforms.com/api/submit');
    curl_setopt($ch, CURLOPT_POST, true);
    curl_setopt($ch, CURLOPT_POSTFIELDS, http_build_query($payload));
    curl_setopt($ch, CURLOPT_RETURNTRANSFER, true);
    curl_setopt($ch, CURLOPT_HTTPHEADER, ['Accept: application/json']);
    $response = curl_exec($ch);
    $status   = curl_getinfo($ch, CURLINFO_HTTP_CODE);
    curl_close($ch);

    header('Content-Type: application/json');
    http_response_code($status);
    echo $response;
    exit;
}
?>

05cURLtest.sh12 lines

curl -X POST https://splitforms.com/api/submit \
  -H "Accept: application/json" \
  -d "access_key=YOUR_ACCESS_KEY" \
  -d "subject=New enrollment inquiry" \
  -d "parent_name=Jane Builder" \
  -d "email=jane@example.com" \
  -d "phone=+15555555555" \
  -d "child_name=Jane Builder" \
  -d "child_age=Infant (0–12 mo)" \
  -d "start_date=2026-05-15" \
  -d "schedule=Full-time (5 days)" \
  -d "notes=Hello from cURL"

Replace YOUR_ACCESS_KEY with the key from your dashboard. That’s the only edit.

§ 04bUse this template with…17 frameworks · same backend

One template. Every framework.

The same field set works on every framework splitforms supports. HTML, React, Next.js, Vue, Astro, Hugo, WordPress — same POST, same backend.

§ 06FAQ4 answered

Things people ask before they ship.

Direct answers, no marketing fluff. Missing one? Email hello@splitforms.com.

01What about COPPA when collecting child data on a public form?

COPPA applies to online services directed at children under 13 — daycare enrollment forms are directed at parents, not children, so they're outside COPPA's primary scope. Still, treat child data carefully: don't collect more than needed (no SSN, no medical detail beyond allergies on the public form), and keep the formal enrollment paperwork on a secure portal.

02How do I tier inquiries by classroom / age?

Use the date-of-birth field to auto-route in your webhook — under 12 months goes to the infant room director, 12-24 to toddlers, 2+ to preschool. Each director gets their own queue and waitlist.

03Can I integrate with Brightwheel / Procare / HiMama / Lillio?

Yes — webhook the JSON. All four childcare CRMs accept inbound leads via Zapier. Lead lands as a prospective family with child age, start date, and contact info ready for the tour invitation and formal enrollment.

04Should I show pricing on the website?

Show the tuition range (e.g. '$1,800-2,400/month depending on classroom and schedule'). Hidden pricing in childcare is read as suspicious — parents budget tightly and need to know upfront. Transparent pricing reduces tour-no-shows by 40%.

✻ ✻ ✻

Ship your daycare enrollment inquiry form in 60 seconds.

1,000 free submissions per month. No credit card. Copy the snippet, paste your access key, watch leads land in your inbox.

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v0.1 · founders pricing locked in · early access open