Wait List and Interest Form

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Wait List and Interest Form

Please complete separate forms if you have more than one child

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* Indicates required question

Email *

Your email

Are you interested in being wait listed for our Monday classes? *

Yes

No

Would you like to be notified if we add additional classes on a different day/time? *

Yes

No

Parent/Guardian Full Name *

Your answer

Parent/Guardian Phone *

Your answer

Parent/Guardian email *

Your answer

Child's Full Name *

Your answer

Child's Current Age *

Your answer

Child's Date of Birth *

MM

/

DD

/

YYYY

Child's Classroom Assignment (Jacaranda, Sequoia, etc.) *

Your answer

Send me a copy of my responses.

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