Pine Pals Waiting List Contact Information
Adding your contact information reserves a spot on our waiting list in the order received, but it is not a binding contract. This is a great way to begin our communication and to help us plan to best serve your family!  We will contact you with updates and to schedule a meeting visit as our opening date approaches. Email us with questions. Please add lydia@pinepals.org to your email contacts to be sure to receive communication.  Thank you!
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Email *
Phone Number *
Your Last Name *
Your First Name *
Your Relationship to Child(ren) *
Child 1 Full Name *
Child 1 Birthdate *
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Child 2 Full Name
Child 2 Birthdate
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YYYY
Child 3 Full Name
Child 3 Birthdate
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Are you looking for Full-Time or Part-Time Care? *
What days of the week are you looking for care? *
Required
Alternate Email
Address *
How did you hear about us? *
Comments
Be sure to add lydia@pinepals.org to your contacts so you don't miss any email updates!  Thank you for your interest in Pine Pals!
A copy of your responses will be emailed to the address you provided.
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