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KCELC Waiting List
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Email
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Your email
Are you currently pregnant with the child being added to the waiting list?
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No
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If yes, please provide due date...
Your answer
Child's Name:
*
Your answer
Date of Birth:
*
Your answer
Potty Trained:
Yes
No
In the process
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Potential - Desired Start Date:
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Guardian's Name:
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Guardian's Phone #
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