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Keystone Kids Academy Wait List Form
Please complete this form to add your child(ren) to our wait list. Families are contacted in the order they are recieved when a slot becomes available. Thank you for your interest in our academy!
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* Indicates required question
Email
*
Your email
Untitled Title
Parent 1 First & Last Name
*
Your answer
Parent 2 First & Last Name
*
Your answer
Child’s First & Last Name (please fill out a new form to add multiple children)
*
Your answer
How soon are you looking for childcare
*
MM
/
DD
/
YYYY
Is your child currently in a childcare setting
*
Yes
No
Parent 1 Phone Number ( you may add parent 2 for an additional number if you choose)
*
Your answer
I understand that when I am contacted regarding childcare availability I will have a (3) day window to respond back: type YES
*
Your answer
Child’s Date of Birth (for multiple children please fill out a separate form)
*
MM
/
DD
/
YYYY
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