Enrollment Application

Thank you so much for considering Achievement Center of Texas for your child or ward. We offer Day Care for children between three and 12 and Day Habilitation for young adults and adults 13 years or older. At this time, we cannot accept students into our program that are Level of Need (LON) 9 or have dual diagnoses with a mental illness (such as bipolar disorder, schizophrenia, etc.). After you fill out this form, pay the $35 application fee and click "submit," someone will email you our complete, printable application for you to complete and turn in.
  • Please submit your name as the parent or ward of the prospective student.
  • Please submit the name of your child or ward.
  • Please provide your cell phone number so we can contact you.
  • Please provide the email address for the contact person. We will use this email address to communicate with you about your registration. Please check the box below if we can use this email address for other projects.
  • We would like to send occasional emails about volunteer and other activities. We do not share, sell or lease your information. You will always be given the option to opt out of future emails. If you're already on our list nothing will change.
  • Please select the program you would like to enter your child or ward in.
  • Please enter "1" to indicate that you have completed this application for one prospective student. If you have another child or ward you would like to complete an application for, please start the process over after clicking "submit."
    Price: $35.00 Quantity:
  • $0.00
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