Weekday Waitlist

Thank you for your interest in enrolling your child at NPHX Preschool. Please fill out all the information below and we will contact you when a space becomes available. For more information, please call our office at 602-707-5821.
Weekday Waitlist
Your Name *

First Name Last Name
Child's Name *

First Name Last Name
Email
example@example.com
Phone Number

Area Code Phone Number
Days *

5 Days a Week 3 Days a Week (Monday, Wednesday, Friday) 2 Days a Week (Tuesday and Thursday)
Times *

Full-Time, over 4.5 hours a day Half-Day, up to 4.5 hours a day (Must be picked up by 3PM) Morning Schedule, 9AM-12PM (Children must be 3 and older)
Child's Date of Birth (or due date if not yet born) *

Month Day Year
Date
Desired Start Date *

Month Day Year
Date
Parent/Guardian Name *

First Name Last Name
Cell Phone Number *

Area Code Phone Number
Email *
example@example.com
Parent/Guardian Name

First Name Last Name
Cell Phone Number

Area Code Phone Number
Email
example@example.com
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Please list any needs your child may have that we need to be aware of (speech, help with potty training, allergies, etc.)

Waitlist Fee $ 25.00

Total $ 0.00