Michelle's Magic School House
Please fill out this brief form so Miss Michelle can get to know you and your needs better. Thank you! Please contact us if you are interested in your child attending during the 2025-2026 school year!
Today's Date
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Month
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Day
Year
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Your First & Last Name
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Your Email or Phone Number to Contact
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example@example.com
Your child's name
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Child's Birthday
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What is/are the ages of your child(ren)?
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What days of the week will you need care?
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Monday
Tuesday
Wednesday
Thursday
Friday
What hours will you need child care?
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Does your child have any allergies? If yes, please share what allergies.
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If you have a rotating schedule, please indicate your needs in the lines below.
Has your child been in a structured learning environment?
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Yes
No
What goals do you have for your child(ren)?
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What is most important to you in an early childhood learning environment?
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If someone referred you to Michelle's Magic School House, please share who :)
Any questions or additional comments you have?
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