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Childcare-Family Inquiry

We are excited that you are interested in our childcare center! Please tell us about your family and your childcare needs.

Your name *

Last name

Email address *

Date completed: *

Household members

Child Information

Child's full name: *

Birthdate *

Child lives with: *

Both parents

Mother

Father

Other

Do you need child care for more than one child? *

Yes

No

Do you need full time care? (Mon-Fri) *

Yes

No

Is your child potty trained? *

Yes

No

Other

Has your child ever been in group care? *

Yes

No

Other

Additional information

When do you need childcare to start? *

What is a convenient time of day for you to visit our center for a tour? *

How did you find out about our childcare center? *

What aspect of our childcare center is most appealing to your family? *

Anything else you would like to tell us?

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Ethos Church
hello@ethosoh.com
(614)482-3897

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