Electronic CDC Wait List Application
Email address *
Today's Date *
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DD
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YYYY
Preferred Date of Enrollment *
MM
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DD
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YYYY
Child's Name (First and Last) *
Your answer
Child's Date of Birth *
MM
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DD
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YYYY
Home Address *
Your answer
Parent/Guardian Name *
Your answer
Primary Phone Number *
Your answer
Place of Employment
Your answer
Work Phone *
Your answer
Email *
Your answer
Parent/Guardian Name
Your answer
Primary Phone Number
Your answer
Place of Employment
Your answer
Work Phone
Your answer
Email
Your answer
Please provide any other information you would like to share about your child.
Your answer
Do you have a child who is currently enrolled at the CDC?
Are you an employee of the CDC or Edenton Street United Methodist Church?
Accepted Students
If your child is offered a space, your family has five (5) calendar days to reserve the space by paying a non-refundable enrollment fee of $200.
A copy of your responses will be emailed to the address you provided.
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