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Last Name
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Child Information
Child's First Name
Child's Last Name
Child's Gender
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Child's Birthday
Desired Start Date
Child's First Name
Child's Last Name
Child's Gender
Boy
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Child's Birthday
Desired Start Date
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Other Information
How did you hear about us?
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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)
Security
Outside Time
Potty Training
Meals/Food Quality
Socialization
Teacher Training/Education
Kindergarten Readiness
Discipline
Curriculum
Teacher-child ratios
Music/Dance
Accredited Preschool
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?
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