Ohio/KY Tour Undecided

We only need your center name, the name of the individual who toured the parent, and the parent's name and email address to complete this form. Anything else is helpful to us but optional.

After you submit this form we will follow up with the family.

Preferred Centre*

Parent Information

Parent First Name*

Parent Last Name

Parent Email *

Parent Phone Number

Child Information - Optional

Number of Children

Child 1 First Name

Child 1 Last Name

Child 1 Date of Birth - YYYY-MM-DD

Year/Month/Day

Child 1 Requested Start Date - YYYY-MM-DD

Year/Month/Day

Child 2 First Name

Child 2 Last Name

Child 2 Date of Birth

Year/Month/Day

Child 2 Requested Start Date

Year/Month/Day

Name of the person who gave the tour:*

Why a tour did not enroll*

Child is too old

Deposit is too high

Desired program not offered

Did not provide a reason

Future start date - (At least 3 months from now)Cannot guarantee preferred start date

Job status change

Lack of response

Location/Distance

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

Program/Location - Did not meet parent expectations

Staffing challenges - Need to hire before we can enroll

Staying at home/not ready

Tuition/Fees

Unable to support child needs

Visiting other centres

Waiting on subsidy

Wants to discuss options with family

How did you hear about us?

Approved Start Date

If you have space for this family, please include the earliest approved start date for them to begin.

Month/Day/Year

Room Assignment

Please include the room assignment if you have space for this family.

Please include any information or comments to aid the Enrollment Team in future communication for this family. Or add reason family did not register, any comments you add helps us a lot!