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1. First Name (required)

2. Last Name (required)

3. Your Email (required)

4. Your Phone Number (required)

5. Place of Work

6. Date (Choose the date that you would like to visit the nursery)

6a. Would you prefer to visit in the Morning or Afternoon?

AMPM

6b. If you don't require a visit on a specific date, please indicate the days & times you are available

MondayTuesdayWednesdayThursdayFridayAMPMNo Preference

7. Childs Name (NA if expecting) (required)

8. Childs DOB or Due Date (dd/mm/yyyy)

9. Childcare Sessions Required (i.e. Monday afternoon, Tuesday Morning, all week etc)

10. Start Date (The date that you would like childcare to start)

The details which you are providing will be used by Rainbow Day Nursery to contact you in the future regarding your enquiry.