Choose one or both:
- Desired Start Date____________________________________
- Desired Test Drive_____________________________________
How did you hear about us?
- Referral ____________________________________
What type of childcare setting has your child experienced?
- Family Home
- Parents, Family, Friends
- First Time in Childcare
If you are coming from another type of childcare what is the reason for leaving?
- Bad Childcare Experience (circle all that apply: multiple sickness, accidents, bad provider interaction, high student/teacher ratio, curriculum lacking or missing, not enough structure, too much structure, no outside time, too much outside time, better hours, not clean enough, ect______________________________________________________________)
Best Date for Tour
- Wednesday (5:30, 6:00, 6:30)
- Thursday (5:30, 6:00, 6:30)
- Weekend by Special Arrangement (4:00, 5:00)