Registration

Attention Registration will not guarantee you a spot at the facility. It will add you to our waitlist.

Parent/Guardian Name:(Required)

First Last

Parent/Guardian Phone Number:(Required)

Parent/Guardian Email address:(Required)

Preferred form of contact:(Required)

Call

Text

Child Name:(Required)

First

Child Age:(Required)

Child Age:

Child Name:

First

Child Name:

First

Child Age:

When you are wanting to start care?(Required)

Hours of the day you are looking for care:(Required)

Tell us a little about your child(children) including hobbies and interests:(Required)

Tell us what your expectations and must have’s are in a facility:(Required)

How did you hear about Imagination Station?

Any additional comments?

If there are no current enrollment spots available I would like to be added to the waitlist".

Yes

Maybe

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Meet Taya Maher – Teacher