Children's Happy Day School - Prospective Family Information Form
Please provide us some information about your family to assist us in learning more about your child and their preschool needs. After you submit this form we will contact you via email on what the next steps will be.
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Child's Name *
Child's DOB *
MM
/
DD
/
YYYY
Child's Address *
Parent #1: Name *
Parent #1: Cell Phone Number *
Parent #1: Email Address *
Parent #2: Name
Parent #2: Cell Phone Number
Parent #2: Email Address
How did you hear about CHDS? If via the Internet, where did you find us? *
Did someone refer you to CHDS? If yes, who? *
Preferred Enrollment Start Date: (Please select) *
Program Type (please select) *
Number of days per week - please select 3, 4 or 5 days. (Please note - if selecting 3 days per week those 3 days cannot be consecutive.) *
Required
Please share with us your child's previous experience with childcare.  Are you coming from a childcare center, family daycare, nanny or home? *
Any Questions or Comments?
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