Preliminary Information & Tour Request

Child's First Name(s): *

Child’s Last Name: *

Applying Parent's Full Name(s): *

Applying Parent's Phone: *

Applying Parent's Email: *

2nd Parent's Full Name(s):

2nd Parent's Phone:

2nd Parent's Email:

Street Address: *

City, State: *

Zip Code: *

Child's date of birth: *

Gender: *

 

Has he or she attended day care/preschool previously, if yes please list?

 

How did you hear about us?

 

Would you like to request a tour of the school:

 

Please provide two dates and times that work for you, we will do our best to accommodate

 

Prefer to be contacted by:

 

Comments

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