Waitlist Registration

1

Parent / Guardian Name

First Name

Last Name

2

Email

example@example.com

3

Phone Number

Please enter a valid phone number.

4

Preferred Method of Contact

Email

Phone

5

Child's Name

6

Child's Date Of Birth

Date

7

For The School Year

2024-2025

2025-2026

2026-2027

8

I'm most interested in the following program

3AM Program - 5 days a week

10

Alumni onlyIf you have had a child in the program in a prior year, please indicate their name and the school year he or she attended

Name

Year