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1
Please tell us your child's age?
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2
Select days you would like your child to be with us
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These days can be flexible, select days for a rough estimate.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Changes Frequent
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3
Will you require school drop-off or pick ups?
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YES
NO
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4
Tell us the times you require childcare?
e.g. 9-5
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5
Is there a date you would like to start on?
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Date
Day
Month
Year
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6
Would you like to visit? If so please choose a convenient date and time.
PLEASE NOTE: Availability must be confirmed before your visit.
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7
Enter your Name
*
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First Name
Last Name
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8
Your Email
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example@example.com
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9
Phone Number
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Area Code
Phone Number
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10
Please verify that you are human
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11
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