IIFCP Childcare Application

Your Name *

First

Last

Spouse's Name

First

Last

Address *

Phone Number *

What's the best time to contact you about this application?

Email *

How many children are you seeking care for? *

Are your children enrolled in ACCESS? *

Name, Gender, and Age of Child 1 *

Name, Gender, and Age of Child 2

Name, Gender, and Age of Child 3

We're open Monday to Friday. When would you need to drop off and pick up your children? *

We are a Christian daycare, which means that your child will be exposed to the bible and to prayer. *

Yes, I acknowledge and give my permission for you to teach my child(ren) from the bible.
No, I do not give my permission for my child(ren) to be taught about the bible.