Daycare APPLICATION

Copy & Paste this Application in an email to rachaelsdaycare@sbcglobal.net

Rachael's Daycare II LLC Application

Date: ______________

Mother's Name: __________________________
Father's Name: __________________________
Address: __________________________________________________________________
Parent Email: _______________________________________________
Parent Phone: _______________________

I was referred by: _____________________________

Is 146th/37 a good location for you to get to? _______

Child's Name: ___________ Male/Female: ____
Age: _____ DOB:________
Current Daycare: __________________________________
How long has he/she been there?: _________________
How many daycare's has the child attended since birth? ______

Child's Name:____________ Male/Female: ____
Age: _____ DOB:________
Current Daycare: __________________________________
How long has he/she been there?: _________________
How many daycare's has the child attended since birth? ______

Desired Start Date: _____________________
Desired Hours: _____________________

Special Requests and/or Concerns:
_____________________________________________________________
_____________________________________________________________

Are you familiar with the Indiana State Guidelines for Licensed Childcare Homes? __
Are you familiar with the Paths to Quality Program? __
Are you familiar with the NAFCC standards for Accreditation? __


*This Application will be processed quickly and you will receive a call/email soon! Thanks so much for your interest in Rachael's Daycare II LLC!!