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 NameLast Name
Child's Name*

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Days*

5 Days a Week3 Days a Week (Monday, Wednesday, Friday)2 Days a Week (Tuesday and Thursday)
Times*

Full-Time, over 4.5 hours a dayHalf-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)*

MonthDayYear
Date
Desired Start Date*

MonthDayYear
Date
Parent/Guardian Name*

First NameLast Name
Cell Phone Number*

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

First NameLast Name
Cell Phone Number

Area CodePhone Number
Email
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / 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