Well Academy Preschool Application

Well Academy Preschool Waitlist

This application will place your child on our waitlist. Families are accepted on a first come, first serve basis. The Preschool accepts children 6 weeks through Kindergarten.
Name of Parent/Guardian*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com

Student Information

Please fill out your children's information below. If your due date is before, please register your child and you may use your due date as their birthday. The Preschool accepts children 6 weeks up to 5 years of age. PREGNANT MOTHERS: Please put your baby's due date as their birthday.
Has your child previously been in daycare?*
Desired start date*

MonthDayYear
Date
Please add a new line for each child you are registering*
Is there anything else you'd like to tell us?
Any allergies or concerns?

Consent
By checking this box, you agree to receive text messages from The Well Academy. Please refer to our privacy policy below for more information. You can reply STOP to opt-out at any time, or for any assistance, reply HELP. Message and data rates may apply. Messaging frequency may vary.
Privacy Policy

The Well Academy does not sell or share any SMS content or personal information to third parties or affiliates for SMS marketing purposes.

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Well Academy Preschool Waitlist