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School Age Waiting List
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* Indicates required question
Child's Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Grade?
*
K
1
2
3
4
5
6
Building
*
Building not assigned
Creek
Crest
Ridge
View
Hill
Heights
Are you a CCSD employee?
*
Yes
No
Do you currently have a child enrolled in ECC?
*
Yes
No
Method of Payment
*
Parent Pay
Child Care Assistance through DHS
Parent Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Parent Email
*
Your answer
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