Program Inquiry Form 
Interested in our Half Day- Baby Buddies or Toddler Time Programs?

If you’ve answered YES, please complete the form below and look forward to a follow up email regarding our next available tour date and more information to get to know our program and more about us. 

We look forward to you joining our Kreative Kidz NC Family soon! 
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Desired Start Date: *
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Program of Interest *
Please select what days you would need to attend? *
Required
Parent/Guardian Name(s): *
Parent/Guardian Email: *
Home Address  *
Phone Number *
Phone Number 
Child Name (First & Last) *
Child DOB  *
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Child Name (First & Last)
Child DOB
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Child’s Current Interests (blocks, dolls, trucks, electronics, sports, being outdoors, etc.) *
Child’s Current Primary Childcare Option? *
What is your childcare need you are looking to fulfill? *
Comments/Questions: *
How did you find about us?  *
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