Please contact the appropriate facility below if you would like a tour of
any of our 3 facilities:

 Milford, CT
Orange, CT
Hamden, CT
Main Office
Duck Pond Day Care, Inc
132 New Haven Avenue
Milford, CT 06460
(203) 882-9132
email main office
Enrollment

If you would like to enroll your child/children at Duck Pond Day Care, please enter the information below and submit. Or if you prefer, you may print the application, and mail or fax the completed form to:

Duck Pond Day Care, Inc.
132 New Haven Avenue
Milford, CT 06460
Fax: (203) 882-8287
CHILD INFORMATION
Last Name
First Name
Middle Name
Gender: Male Female
Birth Date/Due Date
Requested Start Date
Location:
Please select the days and specify the times for each day
for requested child care*:
Monday Hours:
Tuesday Hours:
Wednesday Hours:
Thursday Hours:
Friday Hours:
*There is a 4 hour minimum per day of child care. Please note that our
Hours of Operation are 7:15am — 6:00pm.
FAMILY INFORMATION
Parent/Guardian
Last Name
Parent/Guardian
First Name
E-Mail Address
Street Address
 
City
State
Zip
Home Phone
Work Phone
Cell Phone
Please check this box if this is the main parent/guardian
to contact for enrollment purposes.
Parent/Guardian
Last Name
Parent/Guardian
First Name
E-Mail Address
Street Address
 
City
State
Zip
Home Phone
Work Phone
Cell Phone
Please check this box if this is the main parent/guardian
to contact for enrollment purposes.
ADDITIONAL INFORMATION
Best time and phone number to reach you:
How did you hear about our center?
Has your child been in a daycare setting before? Yes No
If Yes, was it a positive experience? Yes No
Please specify reason for leaving:
Please note: This application does not guarantee your child's enrollment. Deposits are not refundable before enrollment.
 

 

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Or you may call us at (203) 882-9132 and we will mail the application to you.
   
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