Please Fill Out This Short Information Form and Click the Submit Button
to Get a Quick Personal Response from Us!
Name:
Child's Name:
Age of Child:

Mailing Address:
Phone:
Fax:
E-Mail:
Date Your Child Needs Care:
Type of Care Needed:

Questions/Comments



Privacy Statement:
The information which you give in completing this form will be forwarded to the designated party for its use and will not be used by Kids World for any other purpose or provided by us to any other parties. If you wish information concerning the privacy policy or the designated recipient, you should contact them directly.

 

 

Kid's World
8100 Perkins Rd. Bldg. #1
Baton Rouge, LA 70810
Phone: (225) 766-5919

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