Nonprofit · West Valley, Utah

Enroll Your Child
at Mom Pod

Choose the plan that fits your family — full-time, part-time, or preschool-only. We serve ages 6 weeks through 12 years with quality, licensed care and financial assistance available for every income level.

Ages 6 wks – 12 yrs

State Licensed

Financial Assistance Available

2 Teachers All Day

Choose Your Enrollment Plan

Full-time and part-time plans include a $75 annual enrollment fee per child. Preschool-only enrollment is available for ages 3–5. All plans include meals and Brightwheel communication.

Enrollment Application

Fill out the form below and we will reach out within one business day to confirm your spot and discuss next steps. Fields marked * are required.

Please select a plan above before submitting your application.

Parent / Guardian Information

Primary contact for enrollment and billing

First Name*

Last Name*

Email Address*

Phone Number*

Home Address*

City*

ZIP Code*

Enrollment Details

When would you like to start?

Desired Start Date*

We will confirm availability after reviewing your application.

Enrollment Plan*

Children's Information

Tell us about each child you are enrolling

Number of children:

Child 1

First Name*

Last Name*

Date of Birth*

Current Age

Food Allergies / Dietary Restrictions

Leave blank if none.

Medical Notes / Special Needs

Any conditions, medications, or accommodations we should know about.

Interested in the Preschool Program

Ages 3–5 · Mon–Thu 9am–12:30pm · Kelli's Little Learners curriculum

Select a plan above to see preschool pricing

Emergency Contacts

At least one emergency contact is required

Emergency Contact 1

Full Name*

Relationship*

Phone Number*

Authorized Pick-Up Persons

Who else is allowed to pick up your child? (besides the enrolling parent)

Person 1

Full Name

Relationship

Phone Number

Additional Information

I am interested in financial assistance

We offer sliding-scale rates based on household income. Checking this box will not affect your enrollment — we will follow up separately. Learn more

How did you hear about us?

Additional Notes or Questions

Acknowledgements

Please read and agree to the following before submitting

I confirm that all information provided in this application is accurate and complete to the best of my knowledge.I understand that enrollment is subject to availability and that Mom Pod Community Childcare will contact me to confirm my spot and review policies, including the $75 annual enrollment fee, applicable preschool fees, and the "Pay When You Play" billing model.I give permission for Mom Pod Community Childcare to take photos and videos of my child for use in Brightwheel daily updates. (Photos shared publicly require separate consent.)

Submitting this form is not a guarantee of enrollment. We will review your application and reach out within one business day to confirm availability and discuss next steps.

What Happens After You Apply

We make enrollment simple. Here's what to expect after you submit your application.

STEP 1

We Review Your Application

We review your application and check availability for your desired start date within one business day.

STEP 2

We Reach Out to Confirm

We contact you by email or phone to confirm your spot, discuss your plan, and answer any questions.

STEP 3

Welcome to Mom Pod!

Once confirmed, we will walk you through onboarding, Brightwheel setup, and your first day.

Schedule a Tour First Apply for Financial Assistance Have Questions? Contact Us

Enroll Your Child
at Mom Pod

Choose Your Enrollment Plan

Full-Time Enrollment

Part-Time Enrollment

Preschool Only

Enrollment Application

Parent / Guardian Information

Enrollment Details

Children's Information

Emergency Contacts

Authorized Pick-Up Persons

Additional Information

Acknowledgements

What Happens After You Apply

We Review Your Application

We Reach Out to Confirm

Welcome to Mom Pod!

Enroll Your Childat Mom Pod

Choose Your Enrollment Plan

Full-Time Enrollment

Part-Time Enrollment

Preschool Only

Enrollment Application

Parent / Guardian Information

Enrollment Details

Children's Information

Emergency Contacts

Authorized Pick-Up Persons

Additional Information

Acknowledgements

What Happens After You Apply

We Review Your Application

We Reach Out to Confirm

Welcome to Mom Pod!

Enroll Your Child
at Mom Pod