Full Day Program Wait List

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Thank you for your inquiry into the Early Childhood Education Center at Concordia University Chicago. We look forward to being part of your child's learning journey.
Please check all the programs that you are interested in.

Email *

Email Address *

Parent's First Name *

Parent's Last Name *

Child 1 Name *

Child 1 Date of Birth *

YYYY

Child 2 Name

Child 2 Date of Birth

YYYY

Please Check the Box that Applies *

Sibling (This child has a sibling who is currently registered in our Center)

Alumni (This child has a sibling who attended our Center before)

CUC Faculty, Staff, or Student (Parents currently work or study at the CUC)

Required

Address *

City *

State *

Zip Code *

Phone 1 *

Phone 2

Program Interest

M-F

MWF

TTh

Infant (6 weeks-15 months old)

Toddler (15-24 months old)

Younger Full Day Preschool (2 years old)

Full Day Preschool (3-5 years old)

IMPORTANT NOTE:

Once on the Wait List, your child will be considered for the classroom that corresponds to your child's current age.
Parents will be notified of program openings via the contact information listed on this form.

708-209-3099 I 7400 Augusta St., River Forest, IL 60305 I crfecec@cuchicago.edu
Concordia University Chicago ECEC admits students without regard to sex, creed, race, color, national, or ethnic origin or handicap.

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