2019 Enrollment Application for Wanamaker Early Learning Center
Please see FAQ document for information regarding programs and steps for completing the enrollment process. You will receive an email to confirm a seat is available for your child. Once received, you can complete phase 2 of registration. Applications will be processed on a first come, first serve basis. Please anticipate 3-5 business days to receive confirmation. Request for 2 or 3 Full days will take longer to process. Contact Melissa Drier at melissa.drier@ftcsc.org with questions.
Email address *
Child's full name as shown on birth certificate
Your answer
Child's preferred name for classroom
Your answer
Child's DOB
Your answer
Gender
Parent/Guardian name
Your answer
Parent/Guardian's relationship
Address
Your answer
phone
Your answer
email
Your answer
Other Parent/Guardian's name
Your answer
Other Parent/Guardian's relationship
Address if different
Your answer
Phone
Your answer
Email
Your answer
Name and phone number of any other person(s) who may be dropping off or picking up the child on a regular basis
Your answer
Does the child have any medical conditions or diagnoses that require continued care, monitoring, or prescribed medication from a physician? please include food allergies
If yes, please describe condition and list medications
Your answer
Please take a moment to describe your child’s personality and temperament to us:
Your answer
Does your child have fears or difficulties we should know of? And if yes, please provide tips for helping them cope
Your answer
Please describe any unique circumstances you wish to inform us of that may affect your child? (For example, child’s imaginary playmate; new sibling; a recent move; problems with child care arrangements; family death, illness or hospitalization; parent separation or divorce, etc).
Your answer
What do you hope your child gains from enrollment in our program?
Your answer
Program Selection (requests listed under "other" may include 2 or 3 full days and can only be honored if we have availability, applications for 5 full days will be given priority. Half day programs will honor morning or afternoon preference based on availability and will be first come first serve)
Does your child participate in the Franklin Township developmental preschool program?
Does your child receive speech outreach services with Franklin Township?
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