Registration Form

Child's Name(Required)

First Last

Child's Date of Birth(Required)

Parent's (Guardian's) Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone(Required)

Work Phone

Cell Phone(Required)

Email(Required)

Requested Start Date(Required)

Select Center (Check all that apply)(Required)

Holland (Wolf Creek)

Franklin Park (Talmadge)

Perrysburg (Avenue Road)

Perrysburg (Harbor Town Place)

Waterville (Dutch Road)

All of the above

Child's Daily Schedule(Required)

MON

TUE

WED

THU

FRI

How did you hear about us?(Required)

Referral

Website

Drive By

Other

How did you hear about us?

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Name

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About

Children’s Discovery Center, a premier early care and education provider, respects the child, encourages learning through exploration, and supports the family within a creative, nurturing and Christian environment.

Contact Information

Corporate Office
6450 Weatherfield Court Suite 3
Maumee, OH 43537

419-867-8570

Email Us

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Home is life’s greatest classroom and family our

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