Inquire: Preschool and Infant Center

Parent / Guardian Name

Phone Number

Email Address

Preferred method of communication Preferred method of communication Email Phone

Best time to call Best time to call Anytime Mornings Afternoons Evenings

Child's name

Child's age

Date of placement needed

Days Needed Days Needed Full Time (5 days) Part Time (2 days/3days/4days)

Message