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React Contact Block Childcare

Childcare enrollment inquiry form with child age, program selection, schedule needs, and family information for daycare centers

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Give your child the best start with quality early education. This React childcare enrollment component captures family information with child age and developmental stage, program type selection, schedule flexibility, and special care requirements. Built with shadcn/ui Card, Input, Select, RadioGroup, Checkbox, and Textarea components, the form qualifies enrollment leads while understanding each child's unique needs. Sibling discounts, dietary requirements, and tour scheduling—perfect for daycare centers, preschools, Montessori schools, nanny agencies, or any early childhood education provider.

5-Star Rated Program

Enroll Your Child Today

A nurturing environment where little ones learn, play, and grow. Schedule a tour to see why families love us.

Child's Age Group

Program & Schedule

5 days per week selected

Family Information

Our Promise to You
  • State-licensed facility with certified teachers
  • All staff background-checked and CPR certified
  • Low child-to-teacher ratios for personal attention

We'll contact you within 24 hours to schedule your tour.

Installation

Questions you might have