Welcome to Magic Minds, Incorporated. This is a one-time registration form for all before school care, after school care and summer camp services. Please be prepared to create a username (email address) and password that you will remember for future entry into our Parent Portal. URGENT: This application will ask for credit card information. You application will not be submitted if you skip this section. YOUR CREDIT CARD WILL NOT BE CHARGED WITHOUT YOUR PERMISSION.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
(Emails are kept confidential)
Student #1
Additional Info

If you answer Yes to having an IEP we will request a copy of the IEP to help us to provide the best care for your child.

Please choose a class based on the services you need at this time. You may choose up to 3 services. Please be sure to choose the correct location for the services your family needs. You will need to choose the services for each individual student you enter on the registration form.

Your enrollment is NOT COMPLETE until you submit the registration payment. When your registration is complete, the Parent Portal should appear so that you can make the payment immediately. The link for the Parent Portal will also be in your confirmation email.

Your enrollment will be deleted if we do not receive the registration payment within 24 hours of the registration form. 

This form is not valid without the submission of mandatory Office of Child Care paperwork that can be found by clicking a link in your confirmation email. The forms can also be downloaded by clicking here:


Enroll in Classes
Select Class *
Required Policies
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Questions or Concerns
Payment Information
Credit Card