~ Welcome to Positive Steps Childcare & Preschool ~

Enrollment

Positive Steps Childcare & Preschool
Open Monday – Friday
6:30 a.m.- 5:30 p.m.
(Offering hourly evening and
weekend care by appointment)

For more information about Positive Steps Childcare & Preschool please fill out the form below. I will respond within 24 hours.

Name:

Home Phone:

Work Phone:

Address:

E-mail:

How many children do you need care for?

What are their ages?

First Child's Name: Age:
Second Child's Name: Age:
Third Child's Name: Age:

What days do you need care:
Monday Tuesday Wednesday Thursday Friday

What is your anticipated drop off time?

What is your anticipated pick up time?

Enter the date you need care to start: -- mm/dd/yy

Would you like to receive more information through email or have it mailed to you?
Email Mail

Additional Comments or Questions: