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We would be thrilled to speak to you about your child joining our Infant Care family. Please submit the form below, and you will be contacted by a friendly staff member.

Parent Last Name
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Parent First Name
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Phone Number
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Email Address
Child's Last Name
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Child's First Name
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Child's Age
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Child's Gender
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When is the best time to contact you?

Additional Comments


Information submitted is submitted on a voluntary basis.  Kimberly Home will not share your information with anyone; for more information see our Privacy Policy.

      Kimberly Home Infant Care Center  1189 NE Cleveland Street Clearwater, FL  727-447-9283