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Families Requirements
Parent/Guardian Information
Parent/Guardian 1
First Name*
Last Name*
Phone*
Email*
Parent/Guardian 2
First Name*
Last Name*
Phone*
Email*
Care Needs
What kind of care are you in need of Monday-Friday?
Full Time (35+ hrs per week)
Part Time (35 hrs per week or less)
Weekend, Holiday, Summer, Check all that apply.
Weekends
Holidays
Summers
None of the above
Home Address
Home Address
Street Address
City
State
Zip Code
Country
Client Details
Children (please note we can only pair families with needs of 2 or less children)
1 child
2 children
Ages
Nap Structure
Set nap times
Open nap times (they will fall when they fall)
No nap times
Food Allergies
Education Goals/Philosophies
Example 1:
Our house LOVES montessori Philosophy where our toddler gets to play with real world objects in place of plastic toys.
Example 2:
We just want our child to have the freedom to explore and be safe, no preference on set curriculum or structure for my childs age.
When do you need care to start?
Submit
Phone: (123) 456-7890
Email: Ourlittlevillages@gmail.com
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