Waitlist Form
Thank you for your interest in the Spirit Valley Early Childcare  Education Center. Please fill out this entire form to be added onto the waitlist. We will get in touch with you to confirm that we've received your form and let you know next steps. 
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Today's Date *
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Name of Parent *
Phone Number *
Email *
Child's Birthdate *
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Desired Start Date *
Will you be using CCAP (County Child Care Assistance) *
Will you be using a Northland Early Learning Scholarship? *
Are you currently living in the YWCA Young Mother's Housing Program? *
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