Office Use Only Date: Check: Amount: Memo:
No wait list fee is required
Westlake United Methodist Preschool
Laura Clemens, Director
1460 Redbud Trail Austin, Texas 78746 (512)327-1337 FAX (512)327-2842 Laura Clemens, Director
[email protected]
WAIT LIST FOR SCHOOL YEAR 2018-2019 CHILD’S NAME:
DOB:
GENDER:
MOTHER’S NAME:
CELL PHONE
FATHER’S NAME:
CELL PHONE
HOME ADDRESS:
CITY
ZIP
HOME PHONE
PRIMARY EMAIL ADDRESS:
PHONE
Member of Westlake United Methodist Church?
Yes
No
Has your family ever had a child enrolled here?
Yes
No
The waiting list form will place your child on the waiting list for a place in the appropriate age group. Your child will remain on the list until an opening comes available or until we are informed that you are no longer interested. Upon contact about an available space for your child, you will need to respond within 48 hours. Without this response, the opening will be offered to the next child on the Wait List. Your child’s name will be moved to the appropriate age group from year to year. We will contact you about the first available opening. CLASS CHOICES INFANT (6 months –13 months)
Monday-Wednesday-Friday Tuesday-Thursday
TODDLER (14 months-23 months)
Monday-Wednesday-Friday Tuesday-Thursday
TWO YEAR OLDS (Older and Younger) THREE YEAR OLDS (Older and Younger) FOUR AND FIVE YEAR OLDS
Monday-Wednesday-Friday Tuesday-Thursday Monday-Wednesday-Friday Tuesday-Thursday Monday-Wednesday-Friday Tuesday-Thursday Monday through Friday
Extended Day Afternoons 1:00 p.m. – 3:00 p.m. Available Monday, Tuesday, Wednesday, or Thursday PARENT SIGNATURE
DATE:
