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Welcome to Colusa Kinder! Request to visit
Thank you for completing this brief survey to arrange an on site visit to our infant/toddler childcare program. (we are a small licensed family child care)
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Email
*
Your email
Your Name:
*
Your answer
Your little one's name:
Your answer
Birthdate of your child (fill a form out for each child)
*
MM
/
DD
/
YYYY
Date you are requesting to begin care
*
MM
/
DD
/
YYYY
What childcare schedule are you needing?
*
full-time (8am-2:30pm, Monday through Friday)
full-time extended (7am - 5:30pm, Monday through Friday)
Hourly drop in care, as available ($19 per hour)
Part-time (2, 3, or 4 days)
A mixture of part-time with hourly "add on" drop in time as needed
What is most important to you in an early learning program for your child?
Your answer
How would you describe your child?
Your answer
Please feel free to share anything else you would like us to know, as caregivers for your little one:
Your answer
Questions you have for Colusa Kinder?
Your answer
Best days and times for a 30 minute introductory visit:
Your answer
Thank you so much for inquiring, and we look forward to meeting you soon! **Molly will text/call to connect and arrange a time to visit in the next few days...
Thank you, and finally -
how did you heard about Colusa Kinder?
Your answer
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