Campus Tour Registration

Name*
Parent / Guardian Information
First Last
Email Address*
The primary email address where you receive communication. You will receive important follow up communication at this email address.
Enter Email Confirm Email
Primary Phone Number*
How many children are you looking to enroll?*
- One Child
- Two Children
- Three Children

Child's Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Program Needed*
Please select which of the following programs you are interested in for your child. (Select all that apply)
Potty Trained?
Is your child potty trained?
Afternoon Nap?
Does your child nap in the afternoons?

Child's Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Program Needed*
Please select which of the following programs you are interested in for your child. (Select all that apply)
Potty Trained?
Is your child potty trained?
Afternoon Nap?
Does your child still nap in the afternoons?

Child's Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Program Needed*
Please select which of the following programs you are interested in for your child. (Select all that apply)
Potty Trained?
Is your child potty trained?
Afternoon Nap?
Does your child still nap in the afternoons?

How did you hear about Little Big Minds Preschool?
Let us know how you found us.
Family Name
Since you indicated that you were referred by a current/former LBM family. Please provide us with their name, so we can proprely thank them!
Notes for the director.
Please provide us with any additional information you'd like to share with the director prior to your campus tour.
Join the List of Interest
I wish to join the list of interest. I understand that Little Big Minds Preschool will retain and utilize the contact information that I have provided until such a time that I request to no longer receive such communications.
- Receive Updates
Comments
This field is for validation purposes and should be left unchanged.

Virtual Tour Registration Form