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Reservation Form
We kindly invite parents to sign up and complete our waiting list form before enrolling their child(ren). Rest assured, we will promptly reach out to you upon receiving your submission.
* Indicates required question
Email
*
Record my email address with my response
Father's First name:
*
Your answer
Mother's First name:
*
Your answer
your phone number:
*
Your answer
your e-mail address:
*
Your answer
Kid's First and Last Name:
*
Your answer
Kid's date of birth:
*
MM
/
DD
/
YYYY
Does your kid needs potty training?
*
Yes
No
How did you hear about us?
*
Internet search
Yelp
Social media
City of Irvine website
Family/ friends
How soon do you need our care?
*
in 1 week
2 weeks
next month
schedule a time for touring our daycare
*
MM
/
DD
/
YYYY
Send me a copy of my responses.
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