Please
call me to schedule a time to come by for a visit. I'd
love to explain my childcare program to you and answer
any questions you may have. I have a parent handbook and
polices you may preview to determine a good fit. My
enrollment packet includes several forms that I must
have completed and in my possession before I can assume
the responsibility of caring for your child.
No
Openings at this time
To be placed on my waiting list, please fill out and
submit the form below
If you wish more
information or do not see an opening for your child's
age, please fill out the form below and submit to be
placed on a waiting list. Thank you ,
Name:
Home Phone:
Work Phone:
Full Mailing Address:
E-mail:
How would you like me to respond:
Home
Phone Work
Phone Email
Me
I will need:
Full
Time Care
Part
Time Care
Please tell me how many children you have?
First Child's Name Child's
Age
Second Child's Name
Child's Age
Third Child's Name Child's
Age
Please tell me which days you will need care:
Monday
Tuesday
Wednesday
Thursday
Friday
What is your Drop-off time?
What is your Pick-off time?
Please enter the date you need care to begin:
--mm/dd/yy
Please include any additional instructions or questions?