Sunflower Membership Application

Before applying for your family, please read through the list of member responsibilities to make sure you understand our policies.

= required

Child's First Name
Child's Last Name
Child's Date of Birth (MM/DD/YYYY)
Child's Gender Male Female
Desired Childcare Start Date (MM/DD/YYYY)
Caretaker 1 Name
Caretaker 1 Type
Caretaker 2 Name
Caretaker 2 Type
Address
City
State/Province
ZIP
Phone 1 Number
Phone 1 Type
Phone 2 Number
Phone 2 Type
Phone 3 Number
Phone 3 Type
E-mail
Is your family affiliated with IU? Yes No
How long would you commit to a membership at Sunflower?
Tell us your previous experience with caring for young children?
Why would your family be a good fit for Sunflower?
What is your availability to work shifts at Sunflower during the week? A general indication of availability is sufficient, such as whether caretaker(s) currently work full time or part time, will multiple caretakers work shifts.
What is your child's experience with daycare or being watched at home?
List any additional considerations: