Pre-Enrollment Form

Please complete the form below to help us find a spot for your little one. Once complete, we'll contact you to schedule a tour.

All fields marked with an (*) are required.

CONTACT INFORMATION

First Name(*)
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Last Name(*)
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City
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State
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Phone Number(*)
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Email(*)
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CHILD INFORMATION

Child's Name(*)
Please enter child's name.

Child's Birthdate(*)
Please enter your child's date of birth.

Days of Week (*)

Please tell us what days you intend to bring your child to The Gingerbread House Day Care.

Approximate Start Date(*)

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ADDITIONAL INFORMATION

How did you hear about us?(*)

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Questions / Comments
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Human Verify(*)
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Contact Us

The Gingerbread House Daycare
200 E. Eagle St., Buffalo, NY 14204
Phone: 716-348-1149

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