Please know that by filling out this online form that you will be put on our waitlist we will contact you when a spot becomes available. Please contact us if you have additional questions.
Name of Parent's or Guardian's*:
Full Name of Child #1*:
Nickname or shortened name of child #1:
Full Name of Child #2:
Nickname or shortened name of child #2:
Mailing Address: (If different then physical address.)
Are you requesting mornings only from 8am–1pm:
Are you requesting afternoons only from 1–5pm:
Are you requesting full days from 8am–5pm:
Are you flexible in your child’s schedule here at Rainbow?
Days of the week you are desiring care*: (Monday, Tuesday, Wednesday, etc.)