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Honey Bunny Daycare Intake Form
Dear parents,
Please fill out this form so I have your contact information to send you enrollment documents.
Thanks,
Lucy
Child Care Provider
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* Required
Your Child's Full Name
*
Your answer
Your Child's Date of Birth
*
MM
/
DD
/
YYYY
Your Full Name
*
Your answer
Your Email Address (You'll be invited via email to fill out enrollment forms online)
*
Your answer
Your Phone Number
Your answer
Which program are you interested in?
*
Toddler Full Day Program: 12mo-3yr, 5 full days, 8:00am-5:00pm
Toddler Half Day Program: 12mo-3yr, 5 half days, 8:00am-2:00pm
Pre-schooler Full Day Program: 3-5yr, 5 full days, 8:00am-5:00pm
Pre-schooler Half Day Program: 3-5yr, 5 half days, 8:00am-2:00pm
After School Program: Kindergarten to 5th grade, 5 afternoons, 2:00-5:00pm
Required
When do you intend to start?
*
October 2020
November 2020
Later than December 2020
Other:
How did you hear about us?
*
Facebook
Google Search
Referred by Family or Friend (list their name in "Other")
Other:
Required
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