to reserve a spot on the waiting list, Please fill out this form and pay the deposit and registration fees.

WAITING LIST (EFFECTIVE JANUARY 1, 2011)

In order to obtain a spot on The Growing Place waiting list, registration and deposit fees are required. Once the fees are received, a spot will be held at no additional charge, as long as the desired classroom is at capacity.

When space becomes available in the desired classroom, we assign priority by date of application. If the open slot is not desired immediately, the option of paying for that space is available for all parties. Choosing not to pay for the slot will forfeit the right to priority on the waiting list for the desired classroom.

Priority will be given to The Growing Place staff , ALIVE staff and to families that currently have a child enrolled at The Growing Place, who follow the protocol of enrollment.


ENROLLMENT FORM

Child's Name *
Child's Name
Child's Birth Date / Due Date *
Child's Birth Date / Due Date
Please select one.
Preferred Start Date *
Preferred Start Date
Home Address *
Home Address
Parent/Guardian Name *
Parent/Guardian Name
Please enter the primary contact parent information here.
Cell Phone Number *
Cell Phone Number
Please provide employer name.
Work Phone Number
Work Phone Number
Parent/Guardian Name
Parent/Guardian Name
Cell Phone Number
Cell Phone Number
Please provide employer name.
Work Phone Number
Work Phone Number
If custody of the child has been removed from one or both of the parents, please indicate who has legal custody of the child and provide a copy of the custody papers.
Please name anyone prohibited from having contact with the child and provide a copy of the court order.