Tour Check-In
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Contact Information
First Name *
Last Name *
Inquiring as *
Mother
Father
Grandparent
Other
Address *
Email *
Phone *
Child Information
Child's First Name*
Child's Last Name*
Child's Gender*
Boy
Girl
Not Specified
Child's Birthday or Due Date*
Requested Start Date*
Child's First Name*
Child's Last Name*
Child's Gender*
Boy
Girl
Not Specified
Child's Birthday or Due Date*
Requested Start Date*
Add Additional Children
Program Information:
Program interested in *:
Nido (12 months to 24 months)
Toddler (2 years to 3 years)
Primary (3 years to 6 years)
Toddler
Primary
Toddler (23 months to 3 years)
Nido (1 year to 22 months)
Toddler (23 months to 3 years)
How did you hear about us? *
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Did anyone refer you to us? *
Additional Information:
Preferred Start Date
What aspects of a childcare are the most crucial to you?
Does your child have any special needs or considerations you would like to share with us?
What goals do you have for your child developmentally?
What prior child care experiences have you had, and what did you like best about them?
Were there any things about them that you did not like?
What parenting challenges are you struggling with right now?
We strive to work as partners with our parents. How can we best serve you?
Is there anything else you would like to share with me that we have not covered?
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