2023-2024Cubs Corner / Preschool Enrollment Waitlist/ Lista de Espera para Cubs Corner
Please complete this form to provide some basic information about the care you are looking for. You will be contacted shortly via email to let you know the status of your place on the waitlist or of the program's availability.
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Parent/Guardian Name (First and Last)/ Nombre del padre/guardian (Nombre y Apellido) *
Email/ Correo electrónico *
Phone Number/ Número de Télefono *
Name of Children/   nombre de los niños *
Age of Children /Edad de los niños *
Date of Birth Child #1 (or due date)/ Fecha de nacimiento del primer niño *
MM
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DD
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YYYY
Date of Birth Child #2 (or due date)/  Fecha de nacimiento Niño #2 (o fecha de parto)
MM
/
DD
/
YYYY
Infant/Toddler: How many days a week do you need care? (We do not do half days)/ ¿Cuántos días a la semana necesita atención?
Preschool: We only offer Full time care (M-F). Do you need just school hours or with before and after care (7-415)?
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When are you needing care to begin? / ¿Cuándo necesita atención para comenzar? *
Do you have any questions? / Tiene alguna pregunta?
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