2024-2028 Trinity WDM Wait List Form for New Students
Please complete all fields before submitting.
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Email *
Today's Date *
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DD
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YYYY
The year you would like your child to begin: *
Child's Full Name *
Child's Date of Birth *
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DD
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YYYY
Male or Female *
Complete Mailing Address *
Parent/Legal Guardian Name(s)  *
Contact Information
 *
Please choose those that apply: *
Required
Has your child previously been enrolled in a daycare, Mother's Day Out, school, etc.? If yes, please specify location. *
Does your child have any special needs/allergies? If yes, please explain. *
Days/Program Preferred: *
Required
Will you be interested in the Extended Care Program?
Clear selection
Signature of Parent/Legal Guardian (typed name signifies signature) *
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