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Name
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Phone
Email
*
Best time to contact me
Any Time
Morning
Afternoon
Evening
I am interested in
Full time
Three days per week
3/4 Day (8 maximum)
1/2 Days (6 hours maximum) 5 days/week
With director’s approval
I need care starting on this date:
Number of Children
1
2 or More
Age of Child
Please Select
6 wk – 6 mo
7 mo – 12 mo
13 mo – 17 mo
18 mo – 24 mo
2 years
3 years
4 years
5 years
6 years +
Age of Child 1
Please Select
6 wk – 6 mo
7 mo – 12 mo
13 mo – 17 mo
18 mo – 24 mo
2 years
3 years
4 years
5 years
6 years +
Age of Child 2
Please Select
6 wk – 6 mo
7 mo – 12 mo
13 mo – 17 mo
18 mo – 24 mo
2 years
3 years
4 years
5 years
6 years +
Age of Child 3
Please Select
6 wk – 6 mo
7 mo – 12 mo
13 mo – 17 mo
18 mo – 24 mo
2 years
3 years
4 years
5 years
6 years +
Check all that apply
I would like to tour the facility
I would like to receive emails regarding Wonder Years Pre K events and special information
Questions or Comments?
How did you hear about Wonder Years Pre K?
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