Cuesta College Children's Center and Lab School - Waiting List Form V2

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Cuesta College Children's Center and Lab School Waiting List Form

Please Note:
* All fields must be completed in order for you to be placed on the wait list.

* You will be contacted as space becomes available.

* If you need to make changes to any information in the future please fill out a new form and it will be attached to your old form. You will not lose your spot on the wait list if you update your information.

REQUESTER DETAILS

First Name:

Last Name:

Email:

Phone:

Child's First Name:

Child's Last Name:

Child's Birth Date:

Cuesta Affiliation:

DESIRED OPTIONS

Desired Location(s):

Desired Schedule (Days):

Desired Schedule (Full or Part Day):

5 Days (Mon - Fri)

4 Days (Mon - Thurs or Tues - Fri)

3 Days (Mon/Weds/Fri or Tues/Thurs/Fri)

2 Days (Mon/Weds or Tues/Thurs)

Additional Information:

Have a Question?

Please review the Parent Handbook or email the Cuesta College Children's Center Director, at childrenscenter@cuesta.edu.

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