Inquiry Request Form

Admission and Enrollment

Step 1: Review the “About Us" page on the website and familiarize yourself with our center, our mission, our approach to child care. a0Step 2: a0 Express interest by completing this Inquiry Request. Upon completion, our director will contact you to schedule a visit. a0 Step 3:a0 If there is an opening for your child and you are interested in pursuing enrollment, you will be given the Welcome & Enrollment Packet. a0Step 4:a0 Complete and return all documents in the Welcome & Enrollment Packet along with first week tuition, first month activity fee and deposit.
Thank you for your interest in Tender Years of Deale! Please complete the form below and our Director will be in touch to schedule a visit.
Child Information
Child Name

First NameLast Name
Has your child been born yet?
Expected Due Date

MonthDayYear
Date
Birth Date

MonthDayYear
Gender
Select Age Grouping for Your Child
Parent/Guardian Information
Parent / Guardian Name

First NameLast Name
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian E-mail
example@example.com
Parent/Guardian Cell Phone
Format: (000) 000-0000.
Care Needs
When would you like for child care to begin?
Are you enrolling more than one child?
Any Additional Information To Share with Us.
Should be Empty:

Admission and Enrollment