Contact Form
Please fill out a contact form for us to best answer any questions you may have. You can also reach us at AHDNegaunee@gmail.com or at 906-662-0021
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child(ren)'s Age
*
0 - 1.5 yr (18mo)
1.5 - 2.5 (18-29mo)
2.5 yr + (30mo +)
School Age (5 yr +
Child 1
Child 2
Child 3
Child 4
Information Requested
Schedule a Tour
Enroll / Join Waitlist
Daily Routine
Other
Please List Requested Tour Dates & Times
Tours are available: Monday - Friday 9:30-10:45 and 2:00-5:00 | On Weekends 12:00-4:00
Requested Days & Hours of Care (Start Time - End Time)
Does your child have any allergies?
Please Select
Yes
No
If your child has any medications that must be administered by staff while in attendance, how many do they have?
1
2
3
4+
Is your child fully potty trained?
Please Select
Yes
No
Not Sure
Submit
Should be Empty: