2019-2020 Wait List

Child's Name *

First Name Middle Name Last Name

Gender *

Birth/Due Date *

Month Day Year

Child's Allergy/Medical/Dietary Needs *

(Please specify)

Based on your child's birth date, he/she is eligible for a spot at our Nursery School.

Based on your child's birth date, he/she is eligible for a spot at our Preschool.

We're sorry, based on your child's birth date we cannot offer you a spot at this time.
For more information please call our Nursery at (214) 826-6350.

Thank you.

We're sorry, based on your child's birth date we cannot offer you a spot at this time.
For more information please call our Elementary School at (214) 826-2323.

Thank you.

Nursery Term *

Preschool Term *

Nursery Summer Program

Nursery SU Requested Program *

Infant Preferred Schedule *

Toddler Preferred Schedule *

PK2 Preferred Schedule *

PK2 Extended Care *

Nursery School Year Program

Nursery SY Requested Program *

Infant Preferred Schedule *

Toddler Preferred Schedule *

PK2 Preferred Schedule *

PK2 Extended Care *

How old will your child be on 9/1/19? *

Preschool Summer Program

Preschool Preferred Days *

Preschool Times *

Preschool Extended Care *

Preschool School Year Program

Preferred Days *

Times *

Extended Care *

Does your child currently attend another school? *

Yes No

Name of School *

Contact Info

Parent or Guardian 1 Name *

First Name Last Name

Primary Phone *

Secondary Phone (optional)

E-mail *

Parent or Guardian 2 Name *

First Name Last Name

Primary Phone *

Secondary Phone (optional)

E-mail *

Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

Emergency Contact Info
*other than parents/guardians already listed above

Name *

First Name Last Name

Relationship to Child *

Phone Number *

Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

Additional Info

Have/Will you apply for a sibling? *

Yes No

Sibling's Name *

First Name Last Name

For which campus? *

Have any family members previously been enrolled at SH? *

Yes No

Family Members's Name *

First Name Last Name

Campus Attended *

Have you toured any SH campus? *

Yes No

What was the approximate date? *

Date Date Picker Icon

Which campus did you tour? *

Have you attended an information session? *

Yes No

Have you applied to Spanish House in the past? *

Yes No

Have you ever been on our wait list? *

Yes No

I hereby _____ give my consent for my child to participate in Water Activities. *

Do Do Not

Including, but not limited to: (check all that apply) *

Sprinkler Play Splashing/Wading Pools Water Table Play

Is your child exposed to Spanish or any other language on a regular basis? *

ex. parents, childcare, friends, etc.

Why do you want your child to study Spanish? *

How did you hear about us? We're glad you found us! *

ex. friend, online, magazine, drive-by, etc.

Additional Notes:

(optional)

2019-2020 Spanish House Wait List