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Sheryl Austin  
Discovery World Infant Center & Preschool  
Discovery World Early Education Center and Drop In Care  
550 Deep Valley Drive #217, Rolling Hills Estates, CA 90274  
DiscoveryWorldSchools@Hotmail.com  

 		 

Request for Information
Please complete the following form and click Submit. If you have more than one child, please fill this out once for each child. We will contact you as soon as possible regarding your request.

First Name *
 Last Name *
Street Address
City
 State
 		Zip Code
E-mail Address *
Contact Phone *
 How do you wish to be contacted?
Child's Birthdate *
Please enter date as mm/dd/yyyy.
Infant Developmental Skills
If your child is less than two (2) years of age, please check all that apply.
Sits Up Independently   
Feeds Independently   
Drinks from Sippy Cup   
Eats Table Food   
Crawls   
Walks   
Potty Training
Please check box below if your child is potty trained, but do not worry if your child is not potty trained. We help potty train!
My child is potty trained   
Drop-In Care
Please check the box if you are interested in our Drop-In Care service.
Please Send me more information on Drop-In Care!   
How did you hear about us?
Discovery World Parent    Walked By Location   
Our Website    Internet   
Flyer    Newspaper   
Yellow Pages    Other   
Comments
Please let us know any other information that you feel we should know. Thank you!

* Required to submit this form




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