We look forward to meeting you.

 

Please fill out this form to request a tour of one of our locations. We will contact you via phone and/or email within one business day to set up your center tour(s). After completing this form, we will also send you information about The Kids' Place via mail. Thank you for your interest in The Kids' Place.

 
How did you learn about The Kids' Place?  *
Parent First Name *
Parent Last Name *
Primary Number  *
E-mail address
 I do not use e-mail 
Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

 

First Center Location Choice
Second Center Location Choice
Third Center Location Choice

Child 1 First Name

If Expecting, use "Expecting" for your response.

Child 1 Last Name
Child 1 Date of Birth

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 Currently Expecting 
Anticipated Due Date

MM
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DD
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YYYY
Child 2 First Name
Child 2 Last Name
Child 2 Date of Birth

MM
/
DD
/
YYYY
Child 3 First Name
Child 3 Last Name
Child 3 Date of Birth

MM
/
DD
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YYYY
My Plan for tuition payment is
When do you need care to begin?

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DD
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