Welcome
Regina's Daycare & Pre-K
Serving Our Community for over 10 years
Waiting list
 
Child's Name
Child's DOB
Parent / Guardian Name
Phone Number
E-mail
When are you looking to start?
1st Choice
2nd Choice
3rd Choice
Which location did you tour?
How many hours per week do you need?
Mon
Tue
Wed
Thu
Fri
Days:
Additional Information: