2024/2025 Wait List Form
We are only licensed for children 30 months (2.5 years) and to School Age. This wait list prioritizes by the age of the child depending upon the vacancy we have.  A reminder email will be sent every so often to see if there are any changes to the information you have given us.
Email *
Full Name of Child *
Gender of Child *
Date of Birth *
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DD
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YYYY
Date required for child care *
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/
DD
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YYYY
Address *
Full name of primary caregiver *
Phone Number (best one to get a hold of you) *
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