Lily Pads Early Learning Center Waitlist Form
You will be contacted upon receipt of this form and payment. For questions, please contact lilypadselc@gmail.com
By submitting this form, I understand I will be contacted in the order of which the waitlists have been received with preference given to those in the program. There is no guarantee of a spot until I have been notified of an opening and have paid a deposit equal to one month’s tuition. There is a waitlist fee that is non refundable that must be paid.
Name(s) *
Your answer
Email *
Your answer
Address *
Your answer
Phone number *
Your answer
When would you like to begin care? *
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YYYY
Child's birthdate *
MM
/
DD
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YYYY
Type of care *
If you selected part time care above, please select all preferred days
Where did you hear about us? *
If you selected referral above, please let us know the name of your referral.
Your answer
To secure your waitlist position, please use our PayPal link at: http://bit.ly/2gQNNLK or use venmo @lily-pads or mail check for $100 made out to Lily Pads Early Learning Center. Check may be mailed to Leah Hanlon at 9913 Old Georgetown Rd. Bethesda, MD 20814. You will be contacted upon receipt of this form/payment.
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