Mid-City ELC Wait List Form
We are happy to place you on our waiting list. Once you have completed this form, please follow the link sent to you via your "Thank You" email to pay the required, one-time, non-refundable wait list fee of $35.00. We look forward to staying in touch with you!
Your Name *
Your answer
Your Email *
Your answer
Phone Number *
Your answer
Child's Name *
Your answer
Child's Birthday (Or Due Date) *
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Preferred Start Date *
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How did you hear about us? *
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