St. Marcus K3 Childcare Waiting List
If your child will not be 3 by Sep 1, 2019, do not fill out this form.
Email address *
If your child will not be 3 by Sep 1, 2019, do not fill out this form
Legal guardian *
YES: (if not the parent, be prepared to show legal document when offered a seat that the child is in your custody) NO: only the legal guardian may accept a seat for the child.
K3 childcare not choice *
K3 childcare is not part of the choice program. There is a cost for having my child attend K3 childcare at St. Marcus Lutheran School. If you do not understand this, please call 414-403-8959 for further explanation.
$25 fee *
The first cost involved will be a non-refundable $25 registration fee. This will be collected when a K3 childcare seat is offered. It must be paid with cash, money order, or credit card.
Child First Name *
(as on birth certificate)
Your answer
Child Last Name *
(as on birth certificate)
Your answer
Child Suffix *
(if listed on birth certificate)
Child date of birth *
with mo-day-yr required (example: 9/1/2015) (Show original birth certificate when offered a seat)
MM
/
DD
/
YYYY
3 by Sep 1 *
My child will be 3 years old by Sep 1, 2019. (If not, your child is not eligible for K3 childcare for 2019-2020)
Immunizations up-to-date *
(bring immunization record when offered seat)
Siblings at St. Marcus *
(Only if they are brothers/sisters, not cousins)
Sibling names
Please list brothers or sisters of this child who attend or are on the waiting list at St. Marcus this next school year and what grade they will be in
Your answer
Gender *
Child is Female or Male
Potty trained *
This is required before beginning K3 childcare
Parent1 First Name *
Your answer
Parent1 Last Name *
Your answer
Parent2 First Name
Your answer
Parent2 Last Name
Your answer
Address *
Place where child lives the majority of the time
Your answer
City *
Your answer
Zip *
Your answer
Mom cell phone #
Your answer
Dad cell phone #
Your answer
Mom email address
Your answer
Dad email address
Your answer
Losing priority *
Please understand that it's important to keep us updated with your current phone number and email address. We will contact you when a seat becomes available. You will have 24 hours to respond. If you do not respond in 24 hours, your child will lose priority for receiving a seat or may be removed from the waiting list.
24 hour phone *
List phone number at which to contact you to receive response within 24 hours.
Your answer
24 hour email *
List email at which to contact you to receive response within 24 hours.
Your answer
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This form was created inside of St. Marcus Lutheran School.