REQUEST AN INTERVIEW AND TOUR OF ROSARIA'S HOME DAY CARE
NAME:
E-MAIL ADDRESS:
HOME/CELL
PHONE NUMBER:
CHILD/CHILDREN'S
NAME:
CHILD/CHILDREN'S
DATE OF BIRTH:
GENDER:
BOY
GIRL
DO YOU HAVE CHILD
CARE NOW?
YES
NO
IF YES, ARE YOU HAPPY
WITH YOUR CURRENT
CARE?
YES
NO
WHAT ARE YOU
LOOKING FOR IN A
CHILDCARE?
WHY ARE YOU
CONSIDERING A
FAMILY DAY CARE
HOME FOR YOUR
CHILDCARE?
HOW SOON DO YOU
NEED CARE?
ARE YOU LOOKING FOR
F/T OR P/T CHILD CARE?
F/T
P/T
WHICH DAYS OF THE
WEEK WILL YOU NEED
CHILD CARE ?
MON.
TUES.
WED.
THURS.
FRI.
PLEASE SPECIFY THE
HOURS YOU WILL NEED
CHILD CARE:
WHEN AND HOW IS
THE BEST WAY TO
CONTACT YOU?
WHICH DAY OF THE
WEEK AND WHAT TIME
OF THE DAY IS THE
MOST CONVENIENT
FOR YOU TO SET UP AN
INTERVIEW AND TOUR
OF ROSARIA'S HOME
DAY CARE?
REQUEST AN INTERVIEW AND TOUR
IF YOU HAVE ANY QUESTIONS ABOUT
ROSARIA'S HOME DAY CARE PLEASE E-MAIL ME
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PLEASE SIGN MY GUEST BOOK I WOULD LOVE TO KNOW THAT YOU STOPPED BY.