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.
Form template · Daycare / preschool enrollment inquiry
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.
This template is one of our free HTML form templates. See more form templates by industry.
Every template is free and fully editable in the drag-drop builder — swap fields, colors, and the button label before you publish.
No server, API route, or SDK — your Daycare Enrollment Form posts straight to one endpoint.
Every submission is emailed to you and saved to a searchable dashboard — spam filtered before it reaches you.
It's plain HTML you own — paste the Daycare Enrollment Form snippet, swap in your access key, and ship.
Copy and ship
HTML by default — the same field set also renders as React, Next.js, PHP, and cURL in your dashboard. Every variant posts to the same /api/submit endpoint. Replace YOUR_ACCESS_KEY with the key from your dashboard; that's the only edit.
<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="[email protected]" 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 class="splitforms-attribution" 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="sponsored noopener">splitforms</a>
</p>
<!-- drop-off analytics + partial leads (the form works without it) -->
<script src="https://splitforms.com/embed.js" async></script>How to add it
To add a Daycare Enrollment Form to your site you need three things: a free splitforms access key, the HTML snippet above, and your key pasted into it. No backend, database, or CAPTCHA library — the form posts to one URL and every submission lands in your inbox and dashboard.
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.
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.
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.
What's included
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.

Where submissions go
Reply-to is wired to the visitor's email, so one tap on Reply answers them directly — while the built-in honeypot and automatic spam scoring filter out bots before they reach you. Every submission is emailed to your inbox and can forward to a webhook or Slack the moment a visitor hits send.

How SplitForms works
splitforms receives the submission, filters spam, saves it to your dashboard and emails you — then, on paid plans, sends it on to your webhooks and integrations. No backend infrastructure to build.

Point your form to your unique SplitForms endpoint. That's it.

We instantly capture and organize every submission in your inbox.

Send data to email, spreadsheets, CRMs, webhooks, and 7,000+ apps.

No credit card required. Set up in under 60 seconds.
Connect & automate
On paid plans, submissions can also go to Slack, Discord, Google Sheets, Notion, Airtable, Zapier or any signed webhook — and splitforms works on the platforms you build on, from WordPress and Shopify to Next.js. With Stripe connected, your forms can take payments too.

Questions
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.
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.
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.
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%.
Simple pricing
Free gives you 500 submissions for $0 — no card, no time limit. Pro is $5/month for 5,000 submissions a month, and Annual is $49/year for 15,000 a month with every Pro feature.
For side projects and indie devs.
Every paid feature, for agencies and growing products.
Every Pro feature with triple the volume — $0.27 per 1,000 at full use.
No credit card required on Free • Cancel anytime • Full pricing and FAQ