WPCC Interest List

Thank you for being interested in White Plains Children's Center!

Please complete the form below with as much detail as possible. This form adds your child’s name to our interest list. While families are placed on the list in order of the date we receive their application, we reserve the right to select families based on the best overall fit. Factors that may influence this decision are age, developmental milestones, siblings to alumni or current enrollee, and/or IEP eligibility.

Being a small center, it is difficult to accommodate all the families interested in joining our school. Some students will age out of our program before an appropriate spot becomes available. When an opening is available, we will reach out.

Parent/Guardian's Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Child's Name*

First NameLast Name

Child's Date of Birth or Due Date*

Date

Gender*

MaleFemale

Do you have any developmental concerns for your child at this time?*

YESNO

If yes, please share a bit about current areas of concern.

Is there an IEP or IFSP in place?

Preferred Start Date/Time Frame*

Preferred Schedule*

Full-Time (Mon-Fri)Mon/Wed/FriTues/Thurs

Have you scheduled or taken a tour of WPCC already?*

YESNO

If not, you can schedule a tour via a link upon submitting this interest form or via our website's "Schedule Tour" button.

Do you have a subsidy voucher?*

YESNO

WPCC Interest List

Parent/Guardian Information

Child's Information

Additional Information