Child Central Station Waiting List
We do not currently have any openings, but we would love to put you on our waiting list!
Please fill out the form below and we will contact you if/when an opening becomes available
Name *
Please enter your first and last name
Your answer
Contact Information
We collect two types of contact information, your email address and your telephone number. WE DO NOT SHARE OR USE YOUR INFORMATION FOR ANY PURPOSE EXCEPT to contact you in the event of a child care opening at our facility.
Telephone Number *
Please enter your preferred telephone number (more than one number may be entered)
Your answer
Email Address *
Please enter your email address
Your answer
How do you prefer that we contact you? *
Please choose one
Information About Your Children
This section will collect information about the children you are placing on our waiting list. The information collected here is used only for placement on the waiting list. We ask for your child's date of birth, as age is an important factor when determining our availability to care for your child while maintaining the rules and regulations of the state of Michigan.
Child #1 *
Please enter the name of the first child you are requesting childcare for
Your answer
Child's Date of Birth *
Please enter the date of birth for the child listed above, if the child has not yet been born, please enter an approximate due date. In situations of pending adoptions, please indicate if the child is less than 18 months, between 18 and 30 months, or older than 30 months
Your answer
Do you have more children to add to the waiting list? *
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