Parent Interest Form

Complete our parent interest form if you would like to receive information or be contacted to learn more about enrolling your child or children into Creating Memories Children’s Learning Center, Inc. (CMCLC) programs!

    Inquiring Parent Name

    Relationship to Student

    Potential Student Name

    School Year Inquiring About

    Childcare Program Inquiring About

    Childcare Hours

    How Did You Hear about CMCLC

    Mailing address

    Preferred Communication