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Child Care Waitlist Application (New Child)

Please complete a separate application for each child.

Please note: If you do not receive a confirmation email regarding your child's application within one month, please contact the office.


* indicates required fields



Child Information




*Gender:
  

(for office use only)

(for office use only)

Parent/Guardian






*I understand that this application does not constitute actual enrollment in the Early Childhood Center. I realize that actual enrollment in the school is governed by limitations of class size and by priorities established by the Board of Regents of the University. I understand that my child’s name will be placed on a waiting list.
  

*I attest that my child is not currently suspended or expelled from any public district or private school in the United States.