Wait List 25-26 School Year Application Form

Wait List25-26 School Year

Application Form
Please note that this is only a wait list form.

When the registration begins, you will recieve a call from us to come to the office and complete the full registration process.

Please have the following documents ready before coming to the office.

1. Copy of passport or birth certificate of the child

2. Valid ID of parent or guardian

3. Child's latest report card from school

4. Current immunization records
STUDENT INFORMATION
Which program is this child applying for?*

Full-Time (Mon-Fri - 8am-3pm)After School Evening (Mon-Thurs - 5pm-7pm)
How many children do you wish to enroll?
Child Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*
Current Grade*
2nd Child Information
2nd Child Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*
Current Grade*
3rd Child Information
3rd Child Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*
Current Grade*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
PARENT/GUARDIAN INFORMATION
Father*

First NameLast Name
Mother*

First NameLast Name
Father's Email*
example@example.com
Mother's Email*
example@example.com
Father's Cell Phone Number*
Please enter a valid phone number.
Mother's Cell Phone Number*
Please enter a valid phone number.
Should be Empty:

Wait List25-26 School Year