• Element Explorers 2026-2027 Enrollment Form

  • Thank you for your interest in our Young Learner's Program. We have received your pre-registration form. Please complete the Enrollment Admission Form below. In order for your child's enrollment to be complete. We will need the following: 

    1.) Completed Online Enrollment Form

    2.) Immunization record (Blue Card) upload here or provide a copy to the center

    3.) Form of Affidavit for Parents (attached) 

    4.) Child's Medical Form (attached)

    5.) Annual registration fee $100.00

    6.) Annual supply fee $25.00

    7.) 1st week tuition to reserve and lock-in enrollment $168

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  • Child's Information

  • Gender*
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  • Expected Start Date*
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    2 digit month, 2 digit day, 4 digit year

  • Parent/Guardian Info

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  • Address - Same As Child*
  • If your address is different than the childs please fill out the info below. Otherwise move onto the next section.

  • Parent/Guardian Info (2)

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  • Address - Same As Childs*
  • If your address is different than the childs please fill out the info below. Otherwise move onto the next section.

  • Emergency Contact

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  • Other Infomation

  • Does your child have any food, medication or environmental allergies?*
  • Does your child’s allergy/allergies require child care staff to monitor child for symptoms, take action if a reaction occurs, or give emergency medication to your child?*

  • License Exemption

    Misssion Ministries Church and Element Adventures LLC has chosen the license exemption offered to church childcare centers. Not only will we meet the minimum standards as required by the state, but in almost all cases, we will exceed in reaching a higher standard than is required by the current state law. We have prepared an affidavit for you to print & sign that we turn in to the Department of Human Resources ANNUALLY. I have read and understand the above stated policy on Element Adventures status of exemption and I understand that I must print & sign a notorized affidavit ANNUALLY.

  • Please upload Immunization Record and/or Immunization Exemption here:

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  • Child's Medical History Form attached.

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