Capitola Child Care Waitlist
Please provide the requested information below.  We do have a waitlist, and when openings come up, we will do our best to how old your child will be on the desired date of attendance, how many days you are looking for.  Our tuition rate is for full days only.

We will reach out by email, text or phone often to check on your status of looking for care.  We are currently 5+ months out for placement.  But circumstances do change.  
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Email *
Todays Date *
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Mothers name *
Occupation *
Phone number *
Fathers name *
Phone number *
Occupation *
We have a puppy (3 year old Hungarian Vizsla, her name is Hope, she is Amazing with the kids and full of LOVE) are you ok, comfortable around dogs? *
Child's name *
Childs birthday *
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Date looking to start *
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Days of the Week needed *
Required
Please describe any socialization, play groups your child has been part of? *
Current and previous care type:  Has your child been enrolled in a childcare before, or a nanny?  *
Naps routine or challenges , anything else that would be related to providing the best care for your child. *
Why are you considering Capitola Child Care for your child? *
How did you learn about our Capitola Child Care? *
A copy of your responses will be emailed to the address you provided.
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