Acton Midwest Application

Fall 2025

Empowering Curious Learners | Ages 2.5–5

First Day of Programs: Tuesday, September 2, 2025

Please complete this short application to be considered for enrollment. Space is limited. Families who align with the Acton learner-driven model will be invited to enroll.

Parent/Guardian Information

Parent/Guardian Name

Email Address *

Phone Number *

City

State

Child Information

Child’s Full Name *

Age as of September 2, 2025 *

Are you applying for more than one child? *

Yes

If applying for more than one child, please fill below:

Additional Child’s Full Name

Additional Child’s Age

Select program *

Wonder Studio (Ages 2.5–5)

Is your child fully bathroom independent? *

Yes

Tell us a bit about your child’s personality, interests, or learning style.

Parents remain on site and may assist occasionally with:

Gardening
Project setup
Showcases/events

What excites you most about the Afternoon Quests experience?

Acton Alignment

Why are you interested in Acton Midwest for your child?

Tuition & Application Awareness *

I understand that tuition for the upcoming month is due on the first business day of that month. I also understand that submitting an application does not guarantee placement, as Acton Midwest is a small, learner-driven model designed to ensure the right fit for both the child and the learning community.

How did you hear about us?

Anything else you'd like us to know?