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2 Beth Ann Drive
Esko, Minnesota
218.879.5035
info@minimoschildcare.com

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Child Care Enrollment Inquiry Form

Parent/Guardian Full Name

Email

Phone

Child's Name

Child's Birthdate or Anticipated Due Date

Care Needed:

Full Time Infant/Tiny Tot Care (6 weeks-2 years) $250/week

Full Time Toddler/Preschool Care (2 years to first day of Kindergarten) $225/week

Anything else we should know (allergies, special needs, etc.)

Thanks for submitting!

© 2017 by Mini Mos LLC

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