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