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How did you find out about us?
Driving by location
Word of Mouth
Radio
Flyer
Post Card
Other
How many children are in the home?
0-1
2-3
3 or more
Do you want to enroll your child at Akeba Academy?
Are your children currently attending a childcare facility?
How soon will you need childcare services?
What Program options do you need to fit your schedule
Morning Hours 7-4
Evening Hours 9-6
Night Hours 6-11
Swing Shifts- Hours vary
Please Enter Your Contact Information
First Name
Last Name
Email
Home Phone or Cell Number
Please Enter Your Address
Mailing address
City
State
Zip