Waiting list request

Child's Name *

First

Last

Child's Birthdate *

Parent's Name *

First

Last

Check the Class(es) I would like my child added to the waiting list: *

2022/2023 4 Year Old Class Tues, Wed, Thurs, 8:00-10:00 a.m.
2022/2023 4 Year Old Class Tues, Wed, Thurs, 10:20 a.m.-12:20 p.m.
2022/2023 4 Year Old Class Tues, Wed, Thurs, 1-3 p.m.
2023/2024 4 Year Old Class Tues, Wed, Thurs, 8:00-10:00 a.m.
2023/2024 4 Year Old Class Tues, Wed, Thurs, 10:20 a.m.-12:20 p.m.
2023/2024 4 Year Old Class Tues, Wed, Thurs, 1-3 p.m.

(Days and times are subject to change.)

Email *

Cell Phone *

Home Phone (Optional)

Comment or Message *

Name