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
August 2024
August 2025
August 2026
Your Child's Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Gender
*
Does your child have medical or developmental needs that we should be aware of?
Yes
No
If yes, please describe below:
Do you have another child to add to the waitlist?
*
Please Select
Yes
No
Please list additional children with birthdates and gender below.
*
Your Name
*
First Name
Last Name
Best Contact Number
*
Please enter a valid phone number.
Email
*
example@example.com
Tour Date
*
Please Select
April 16 @ 4:30
September 17 @ 4:30
October 15 @ 4:30
November 19 @ 4:30
December 17 @ 4:30
January 21, 2025 @ 4:30
February 18, 2025 @ 4:30
A tour is required to be added to our waiting list, unless you are an alumni. Please select the date you attended or plan to attend a tour.
Does your child have a sibling, parent, or grandparent who attended HPUMP in the past?
Yes
No
What is the name of the person and year they attended HPUMP?
*
Are you an active member of Hixson United Methodist Church?
Yes
No
How did you learn about us?
*
Application Fee
*
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$25 Fee to confirm your interest in HPUMP and add your child to our waitlist. Only once per family.
$
25.00
Credit Card
Submit
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