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Parent/Guardian Information
First Name
Last Name
Email
Phone
Child Information
Child's First Name
Child's Last Name
Child's Date of Birth
Desired Start Date
Child's First Name
Child's Last Name
Child's Date of Birth
Desired Start Date
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Tour Information
Location
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Additional Notes
Other Information
Language spoken
English
Español
English/Spanish
How did you hear about us?
Google
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Did anyone refer you to us?
What aspects of your child’s care and learning are the most important to you? (Choose your top 3)
We strive to work as partners with our parents. How can we best serve you?
What prior child care experiences have you had, and what did you like best about them?
Were there aspects that were not so positive?
What are your child’s top interests right now?
Is there anything else you would like to share with me that we have not covered?
I would like to receive tour reminder alerts via email and text message.
Email and text messages
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