Winter 2023 Waitlist Request Form
Complete one form for each child. Requests will be processed in the order received. Winter new-member enrollment period ends 1/5/23. Our winter semester begins 1/9/23.
Parent Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Membership choice.
*
Full-Time
Enrichment (1 day per week between Monday and Thursday)
Please list child's age and winter 2023 grade level.
Submit
Should be Empty: