Waitlist Request Form

Thank you for your interest in joining CHEC The Center! Please complete the form below to be added to our waitlist. We will notify you as soon as a spot becomes available.
Email *
Parent Name *
Parent Phone Number *
Parent Email *
Student's Full Name *
Student's Date of Birth *
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/
DD
/
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Student's Current Grade Level *
Program of Interest *
Program or school student previously enrolled in *
Reason wanting to enroll at CHEC *
Is the student currently a Step Up Scholarship recipient? *
Church family attends *
Families you currently know that attend CHEC
 *
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