All Star Learning Center Waitlist Application
Please complete this application to be added to our waitlist! 

Please note: Submitting an application does NOT guarantee your child a spot. Spots are available on a first-come-first-serve basis pending availability.
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Email *
Parent First & Last Name
Please select one: *
Best Phone Number To Reach You *
Child #1 First & Last Name *
Child #1 Birth Date or Due Date *
MM
/
DD
/
YYYY
Child #2 First & Last Name
(If applicable)
Child #2 Birth Date or Due Date
(If applicable)
MM
/
DD
/
YYYY
Approximate Date Care Will Be Needed *
MM
/
DD
/
YYYY
Comments/Details 
Desired Schedule *
If you selected "Part Time" for your desired schedule, please describe what you would like those days to be below. 
Waitlist Guidelines *
As you read each guideline, please check the box. By checking each box, you are stating that you understand the guideline and agree to follow it. 
Required
Waitlist Guideline Acknowledgement- I understand the guidelines above and agree to follow them. *
A copy of your responses will be emailed to the address you provided.
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