Join Our Waitlist/Apply

Child's Name #1 *

First Name

Last Name

Date of birth or Due Date

MM

DD

YYYY

Date of birth or Due Date

MM

DD

YYYY

Date of Birth or Due Date

MM

DD

YYYY

Parent/Guardian A Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Work and/or school information *

Employment

Training

School

Employer/School Phone *

(###)

###

####

Days *

Monday

Tuesday

Wednesday

Thursday

Friday

Parent/Guardian B Name

First Name

Last Name

Same Address as Parent/Guardian A

Parent/Guardian B Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Work and/or school information

Employment

Training

School

Employer/School Phone

(###)

###

####

Days

Monday

Tuesday

Wednesday

Thursday

Friday

Contract Type Information *

Private Pay

Subsidy

What type of subsidy? *

If you selected Private Pay for the previous question, please select "Other."

State Voucher (Cal WORKS, C2AP, C3AP)

Early Learning Scholarship (ELS) City Voucher

Early Learning Scholarship (ELS) Reserved (Transitional Housing/Homeless)

I have applied at Children’s Council or Wu Yee and have been placed on the Early Learning SF waitlist

Other

I have NOT applied for a subsidy program

How did you learn about HDFH?

Alumni

Family/Friend

Internet

Other

Have you attended a HFDH Campus Tour?

Yes

No

Have you submitted an application in the past for another child?

Yes

No

Date

MM

DD

YYYY