Wellkind

Waiting List

Thank you for your interest in our program!

A person from our team will be in contact with you when there is a spot available for your child.

Please read through this form and fill out accordingly. / Por favor lea y conteste el formulario

Guardian's First and Last Name

What is your relationship with the child.

Telephone

How did you hear about us?

Desired Start Date

Drop Off Time

Pick Up Time

How flexible is the start date and your schedule?

Child's First and Last Name

Gender

Birthday

Age and classroom

Has your child been in a learning center before?

If Yes, Where?

Does your child currently receive or may be in need of any of these supports?

Please explain:

Child's Name and Last Name

Gender

Birthday

Age and classroom

Has your child been in a learning center before?

If Yes, Where?

Does your child currently receive or may be in need of any of these supports?

Please explain:

Will you be using any financial assistance?

We offer a Preschool Scholarship for families who fall into the 300% Federal Poverty Level Guideliness. Would you be interested in receiving information? ONLY offered at the beggining of every school year.

We offer a Pre-K Counts program for families who are looking for a half day program and for families who fall into the 300% Federal Poverty Level Guideliness. Would you be interested in receiving information?

I understand that I am providing this information to express my interest in enrolling my child at WellKind School. This is a preliminary step and should not be confused with registering my child.

Waiting List

Thank you for your interest in our program!

A person from our team will be in contact with you when there is a spot available for your child.

Please read through this form and fill out accordingly. / Por favor lea y conteste el formulario

Guardian's First and Last Name

What is your relationship with the child.

Telephone

How did you hear about us?

Desired Start Date

Drop Off Time

Pick Up Time

How flexible is the start date and your schedule?

Will you be using any financial assistance?

Child's First and Last Name

Birthday

Age and classroom

Has your child been in a learning center before?

If Yes, Where?

Does your child currently receive or may be in need of any of these supports?

Please explain:

Child's Name and Last Name

Birthday

Age and classroom

Has your child been in a learning center before?

If Yes, Where?

Does your child currently receive or may be in need of any of these supports?

Please explain:

I understand that I am providing this information to express my interest in enrolling my child at WellKind School. This is a preliminary step and should not be confused with registering my child.