RHK Waiting List
Please take a minute to fill this questionnaire out for each child you’d like to place on our waiting list.

Typically we require a site visit prior to being placed on our waiting, however due to COVID-19 a visit will not be required at this time.
Email address *
Today’s date *
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Your name *
Your child’s name *
Your child’s age *
Your child’s date of birth *
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Home phone
Cell phone *
Preferred contact choice *
Required
Requested childcare start date *
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What days will childcare be needed? *
Required
How did you hear about us?
Do you have any other questions for us?
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