Studio City Child Care
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DAILY
Parent:
*
Indicates required field
Name
*
First
Last
Your first and last name.
Your email
*
We will communicate with you using this email. Please ensure correct spelling.
Cell number (yours)
*
Best number for you while your child is with us. We will communicate with you on this number.
Cell number (backup)
*
A second number if we can't reach you on your cell e.g. your spouse, the place where you will be etc.
Payment method
*
Cash
Check
Card
A minimum of one hour is charged. Increments of 15 minutes will apply thereafter. If the child is not picked up by midnight, a charge of $2 per minute will be payable.
Confirm my booking . . .
*
Using the email above
Texting to my cell above
Texting to my backup cell above
You will receive a confirmation shortly after submitting this service request.
Who will pick up?
*
Myself
Not me, will advise when dropping off
The child:
Child's first name
*
If more than one child, separate names by a comma
Child's age
*
e.g. 8 months, 2 years. If more than one child, separate by commas
Food allergies
*
None
Yes, will provide written list when dropping off
Any food items to which the child is allergic
Child has any special needs?
*
No
Yes, will explain when dropping off
Medical, physical, behavioral etc.
Check if applicable . . .
*
Formula - I will bring
Formula - Please provide
Snack - I will bring
Snack - Please provide
Dinner - I will bring
Dinner - Please provide
Diaper - I will bring
Diaper - Please provide
Check any that applies or leave all unchecked.
Service date and time:
Year
*
2015
Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Day
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Will drop-off kid around . . .
*
6:00 p.m.
6:30 p.m.
7:00 p.m.
7:30 p.m.
8:00 p.m.
8:30 p.m.
9:00 p.m.
9:30 p.m.
10:00 p.m.
10:30 p.m.
11:00 p.m.
Please arrive around the time picked above or call to advise us.
Will pick-up kid around . . .
*
7:00 p.m.
7:30 p.m.
8:00 p.m.
8:30 p.m.
9:00 p.m.
9:30 p.m.
10:00 p.m.
10:30 p.m.
11:00 p.m.
11:30 p.m.
12:00 midnight
Okay to pick-up later than the time specified above, however the child must be picked up before midnight otherwise a charge of $2 per each late minute will be added to the bill.
Anything else we should know (optional)
*
Submit