Scarsdale Congregational Church Nursery School Waitlist for All Classes
Please complete the following to join our waitlist.  A separate form must be submitted for each child.  As space opens up in classes we will contact waitlist applicants in the order in which this form was submitted.
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Email *
Student Name:  *
Student Date of Birth:  *
MM
/
DD
/
YYYY
Parent/Caregiver Name:
*
Parent/Caregiver Phone (Please enter in XXX-XXX-XXXX format):
*
Please select the classes you'd like: 
1st Choice
2nd Choice
3rd Choice
2s: M-W-F
2s: Tu-Th
3s: 5 Day
3s: M-W-F
3s: Tu-Th
4s: 5 Day
Clear selection
A copy of your responses will be emailed to the address you provided.
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