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Thank you for considering Learning Curves for your childcare needs.

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Parent / Caregivers name *

First

Last

Email *

Best contact phone number

Childs Name *

First

Last

Child's date of birth *

Requested Starting Date *

Desired Days of Care *

• Monday
• Tuesday
• Wednesday
• Thursday
• Friday

Which booking would you like? *

• Full Day (8.5hrs between 0730-1730)
• School Day (0830-1530)
• AM Session (over 3yrs only) 0730-1230
• PM Session (over 3yrs only) 1230-1730

Second Child's Name

First

Last

Second Child's date of birth

MM/DD/YYYY

Desired Days of Care

• Monday
• Tuesday
• Wednesday
• Thursday
• Friday

Which booking would you like?

• Full Day (8.5hrs between 0730-1730)
• School Day (0830-1530)
• AM Session (over 3yrs only) 0730-1230
• PM Session (over 3yrs only) 1230-1730

Days you Starting

Additional Comments

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