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Waiting List Form
Thank you for your interest in Georgetown Law Early Learning Center. We enroll children ages 18 months to 5 years old. Please complete this form to join the Waiting List.
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* Indicates required question
1. Today's Date
*
MM
/
DD
/
YYYY
CHILD'S INFORMATION
2. Child's First & Last Name
(Don't know the child's name yet? No problem, simply
state TBD.)
*
Your answer
3. Child's Age
(If unborn, you may state ("Not born yet or something
similar)
*
Your answer
4. Do you know the child's date of birth?
*
Yes (proceed to #5)
No (skip to #6)
Required
5. Child's Date of Birth
MM
/
DD
/
YYYY
6. Child's Gender
*
Female
Male
Don't know yet
Other
Prefer not to respond
Required
7. Potential Month & Year of Enrollment
*
Your answer
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