Early Childhood Education Center Interest & Tour Form
Thank you for your interest in the AJCC ECE! We look forward to connecting with your family
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Communication Preference
Please Select
Email
Call
Text
What type of care are you looking for
*
Full time
Part time
Parent & Me
How did you hear about us?
Current school family
Social Media
Advertisement
Word of mouth
Former AJCC parent
Postcard/Mail
Other
Which program are you interested in?
*
J Baby (Parent & Me, 0 - 12 months)
J Tots (Parent & Me, 10 - 24 months)
Toddler Care
Twos
Preschool
Pre-K
Other
Child 1 Name
*
Child 1 DOB/Due Date
*
-
Month
-
Day
Year
Date
Child 2 Name
Child 2 DOB/Due Date
-
Month
-
Day
Year
Date
What are you looking for in an early childhood program?
If you would like a tour of the ECE, please use the calendar below
If you would like to schedule a tour, please indicate your preferred days/times
Tell us about your child's previous school experience
Is there anything else you'd like to share with us?
Just making extra sure you're a human!
*
Should be Empty: