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Registration Intake Form
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How has your child benefited from his/her experience at Little Disciples?
Are you satisfied with the care and nurturing your child received?
Please tell us three thing you like:
Please tell us three things we should work on:
Little Disciples has helped my child most by:
Describe anything you don’t like about the program. How can the program do a better job meeting the needs of children and families?
On a scale 1-10 (1-Poor 10-Great) please rate your overall satisfaction with the program’s care and education.
Please share any other comments:
Select a date
Thanks for submitting!
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