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Tour/Family Status - Waitlisted/Future Start
After you submit this form we follow up with the family.
Parent Information
Parent First Name
*
Parent Last Name
Parent Email - This field must contain a unique email to the parent.
*
Parent Phone Number
Child Information
Number of Children
- Please Select -
1
2
3
4
Child 1 Date of Birth - YYYY-MM-DD
*
Year
/
Month
/
Day
Child 1 First Name
*
Child 1 Last Name
Child 1 Requested Start Date - YYYY-MM-DD
*
Year
/
Month
/
Day
Allergies
Yes
No
Unknown
Priority Enrollment
Priority Sibling
Priority Transfer Family
Priority Previously Attended
Priority Staff
Paid Deposit (in DCW)
Child 2 Date of Birth
Year
/
Month
/
Day
Child 2 First Name
Child 2 Last Name
Child 2 Requested Start Date
Year
/
Month
/
Day
Child 3 Date of Birth
Year
/
Month
/
Day
Child 3 First Name
Child 3 Last Name
Child 3 Requested Start Date
Year
/
Month
/
Day
Child 4 Date of Birth
Year
/
Month
/
Day
Child 4 First Name
Child 4 Last Name
Child 4 Requested Start Date
Year
/
Month
/
Day
Centre Information
Preferred Center
*
Please Select
Busy Bees Carefree
Busy Bees Chandler
Busy Bees El Mirage
Busy Bees Glendale
Busy Bees Heritage Square
Busy Bees Laveen
Busy Bees North Chandler
Busy Bees North Phoenix
Busy Bees Palm Valley
Busy Bees Paradise Valley
Busy Bees Provinces
Busy Bees South Phoenix
Busy Bees Surprise
Busy Bees Tempe
Busy Bees East Mesa
Busy Bees Mesa
Busy Bees San Tan
Name of the person who gave the tour:
*
If there was no tour enter No Tour
Why did the family not enroll?
*
Child is too old
Deposit is too high
Desired program not offered
Future start date - At least 3 months from now
Job status change
Lack of response
Lost subsidy
No longer interested
Not a real lead
Only interested in camp
Program is full to capacity - Do not use if more staff would allow us to enroll
Staffing challenges - Need to hire before we can enroll
Staying at home/not ready
Unable to support child needs
How did you hear about us?
- Please Select -
Event (Tradeshow, Fair, Seminar)
Previously Attended
Drive By/Neighbourhood
Facebook/Social Media
Internet Search
Parent Groups
Online Directory
Employee Referral
Referred by Another Family
Road Sign
Unknown/Did not provide
Online Review
Other (ie: Flyer/Radio/Bus)
Social Media Influencer
Instagram
LinkedIn
Radio
Local Businesses
Other
Winnie
Waitlist Comments or include any information or comments including if the child requires specialized support or accommodation.
Submit