Wilshire ECLC Waitlist Form

Submission

MonthDayYear
Room to Bloom Preschool
Waitlist Form
Thanks for your interest in our preschool program! Please select an option below and I will reach out via e-mail to confirm your selection and when and opening becomes available.

The 26/27 school year will begin on August 12th, 2026.

Summer school will go from June 2nd-July 30th, 2026.
Child's Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*
Parents' Name(s):*
Phone Number*
Email*
example@example.com
Class Choice(s)
2025/2026 School Year
2026 Summer Preschool
2026/2027 School Year
Additional Comments or Questions
Should be Empty:

Class Choice(s)