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Whittier SACC Wait List Form 2025-26
SACC Registration has now closed. If you would like to add your student's name to the waitlist, please complete this form.
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Child's First and Last Name
Your answer
Child's Grade
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
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Parent or Guardian Contact Name
Your answer
Parent or Guardian Contact Cell Number (please use dashes)
Your answer
Parent or Guardian email address
Your answer
Was your student in the program last year?
Yes
No
Other:
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Please explain your current work situation and/or why you need this program
Your answer
If I were to get a spot, I would need
AM ONLY
PM ONLY
BOTH AM & PM
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