Safari Daycare anticipates opening in August 2022 at CC/E!
Please fill out the survey if it applies to you.
Sign in to Google to save your progress. Learn more
Parent/Guardian Name *
Parent/Guardian Phone number *
How many children are you looking to enroll? *
What are the ages of your child(ren) you wish to enroll? *
How many days per week are you seeking care? *
Will you need before and/or after school care? *
Will you need child care on non-school days, such as inservice days, late starts, early dismissals? *
Do you know anyone with children ages 2 -10 that would need child care that we could contact? Please list their name and phone number. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Clay Central Everly Community School District. Report Abuse