LVCHILDCARE
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Childcare Application
Parents Night Out
740-497-7188
Daily Childcare Application Directly Below
Please fill out daily childcare application and submit. We will be in contact with you ASAP. Thank you very much.
Parents Names
Phone Number
E-mail
Child/Children's Names and Ages
• Will You Need Full-Time or Part-Time Childcare?
Full-Time (21+hours a week)
Part-Time (20 or less hours a week)
Long Term or Short Term
Long Term Childcare (School year and Summer)
Short Term Childcare (School Year Only)
What Days will your Child Attend?
Monday
Tuesday
Wednesday
Thursday
Friday
Please let us know what hours you are looking for daily.
Potty Trained?
Yes
No
Will Your Child Require Bussing?
Before School/Pickup
After School/Dropoff
No Bussing Required
I agree to the
Terms & Conditions
and
Privacy Policy
Submit
LEARNING EVERYDAY
Our focus is to provide a stimulating early learning and childcare experience which promotes each child’s social/emotional, physical and cognitive development
19 Long St Ashville, Ohio 43103
740-497-7188
baywatch5@yahoo.com
7AM-5:30PM