MCH Inquiry Form (one form per child) Your Name (required) * Email Address (required) * Phone * Child's Name * Child's Birthdate * Desired Program * Toddler (16-36 months) (*Currently enrolling 2 year-olds for immediate openings!*)Primary (3-6 years) (*Currently enrolling all ages for immediate openings!*) Desired Schedule * Full Day (until 3:00pm)add-on AM Care (start as early as 7:45am)add-on PM Care (as late as 5:30pm) (*Toddler PM Care is FULL*) Desired Start Date * How did you hear about us? Additional Comments * Required
