Waitlist Application

Waitlist Application

Thank you for your interest in HPUMP! To be added to our waitlist, please fill out this form and pay the fee below.
Preferred Entrance Date

Mid-Year 2022August 2023August 2024August 2025
Your Child's Name*

First NameLast Name
Birthdate*

MonthDayYear
Date
Gender*
Your Name*

First NameLast Name
Best Contact Number*
Please enter a valid phone number.
Email*
example@example.com
How did you learn about us?*
Tour Date*
A tour is required to be added to our waiting list. If you have had a child previously attend, please type the year your child attended.
Have you had a child attend HPUMP or did you attend as a child?

YesNo
What is the name of the person who attended HPUMP?*
Are you an active member of Hixson United Methodist Church?

YesNo

Application Fee*

$25 Fee to confirm your interest in HPUMP and add your child to our waitlist. Only once per family.

$25.00

Total

$0.00