Kreative Kidz NC Drop In Childcare Family Registration
Did your sitter cancel on you AGAIN!? Need to run errands, attend class, doctor's appointments, or just some simple YOU time?

Take advantage of our Drop In Childcare Services open Monday-Wednesday 8AM-6PM, Thursday 8AM-9PM, and Friday 8AM-10PM for $10/Hour +$5/siblingz! Prepaid Packages available, creating an hourly rate as low as $8.50/hour! Other Programs and services available as well! We're a one stop shop for Childcare!

Meals are not included, Snacks are complimentary. Bring your own meal or we'll supply for $5/each.
Email address *
How did you find out about us? *
What services will your family use? (Select All That Apply) *
Required
Child's Name *
Your answer
Child's Date Of Birth *
MM
/
DD
/
YYYY
Child's Name
Your answer
Child's Date Of Birth
MM
/
DD
/
YYYY
Child's Name
Your answer
Child's Date Of Birth
MM
/
DD
/
YYYY
Parent's Name *
Your answer
Parent's Phone Number *
Your answer
Parent's Name
Your answer
Parent's Phone Number
Your answer
Home Address *
Your answer
Developmental/Enrichment Needs *
Your answer
Allergies/ Medical Concerns (include for all children) *
Your answer
Emergency Contact/Authorized Pick Up's (ID will be checked upon Pick Up) *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy