First Steps Waitlist/Registration Form

Waitlist/Registration Form

First Steps Child Development Center
Child and Parent Information
Child's Name*

First Name. If expecting and name has not been chosen, please type "Baby"Last Name
Date of Birth*

MonthDayYear
If expecting, please enter your due date.
Gender*

MaleFemaleN/A
Does this child have a sibling that is currently on our waiting list?*

YesNo
Parent/Guardian Name (1)*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Parent/Guardian Name (2)

First NameLast Name
Phone Number
Please enter a valid phone number.
Email Address
example@example.com

Registration

First Steps Child Development Center
Please read the information below in regards to the registration fee:
- I understand my child's waitlist position will be determined by (in order of priority):
  - If I have paid the non-refundable $75 registration fee.
  - The date my completed waiting list/registration form was submitted.
  - If my child is a sibling of a currently enrolled student.
  - If my child's age matches an available spot at First Steps.
- I understand if I choose to pay the non-refundable $75 registration fee, that payment does not guarantee enrollment.
- I understand that I do not have to pay the registration fee to be added to the waiting list.
- I understand that if I choose not to pay the registration fee, it will be due at the time I am offered and accept a spot.
I have read and understand the information above.*

I understand.
I would like to*

Be added to the waitlist only, and do not wish to register at this time.Be added to the waitlist and pay the non-refundable $75 registration fee ONLINE.Be added to the waitlist and pay the non-refundable $75 registration fee BY CHECK.
Please click here to be redirected to our website and pay the registration fee online.

*Note: You will still need to click "Submit" at the end of this form to ensure your submission has been received. You will receive a copy of your completed form in your email provided once submitted.
If paying registration fee by check, please include your child's name on the check.
Mail check to:
First Steps
1900 Graybar Lane
Nashville, TN 37215.
By signing below, I agree that this Waitlist/Registration Form for First Steps is completed and that all information was reviewed.
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Should be Empty:

Waitlist/Registration Form

Child and Parent Information

Enrollment Details

Registration