Enquiry Form

If you are interested in enrolling your child in Gems Educational Childcare, this is the first step. Fill out the form below and a member of our Leadership Team will be in contact with you. For general enquiries please fill out the ‘Contact Us’ form.

Gems Childcare Centre *

Name *

Name

First Name

Last Name

Phone *

Email *

Address *

Referred by

Child Details

Child's Name *

Child's Name

First Name

Last Name

Birthday *

Birthday

YYYY

Gender *

Relationship to Child

Desired Start Date *

Desired Start Date

YYYY

How many days childcare do you need?

* Please note that we have a minimum enrollment of 2 days / week.

Do you require specific days?

If so, select the days that apply.

Monday

Tuesday

Wednesday

Thursday

Friday

Has your child been in childcare before?

Yes

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