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FUMCDC Wait List Form
Thank you for your interest in First United Methodist Child Development Center. Please complete the information below in order to place your child on the waiting list. If you have multiple children, please use one form for each child.
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* Indicates required question
Email
*
Your email
Child's Name
*
Your answer
Child's Date of Birth or Due Date
*
MM
/
DD
/
YYYY
Date Space Needed
*
MM
/
DD
/
YYYY
Email
*
Your answer
Parent Phone Number
*
Your answer
Parent Phone Number
Your answer
Select one or all of the following:
Sibling
First United Methodist Church Member
CCRI
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Parent's Names
*
Your answer
A copy of your responses will be emailed to the address you provided.
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