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Home | What Makes Us Special | Babies | Toddlers | Map and Directions | For Our Parents | Contact Us | Kimberly Home Pregnancy Center

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
     
What is the best way to contact you?
When is the best time to contact you?
   

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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