Coppertop Wait List Form
University Nursery School
Email *
***PLEASE NOTE, being put on the wait list does NOT guarantee you a spot.  We do not hold spots without a registration form and deposit.  We would contact you if/when something were to open up. 
Coppertop does NOT have part time infant or toddler care. 
Parent Name(s) *
Parent Phone number *
Parent Email
Age group you are looking for (please check all that apply) *
Required
Child's date of birth or due date (if you have more than one please add to the special notes below) *
MM
/
DD
/
YYYY
Desired Start date *
Do you want to be contacted if a spot opens up after your desired start date  *
Required
Any other information you'd like us to know
A copy of your responses will be emailed to the address you provided.
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