Waiting List Application
This waiting list is based on a first come first serve basis. Please fill out the waiting list application and return as soon as possible. MUM'S operates a 1/2 day preschool as well as an afternoon after-school program from the 3 elementary schools in Mebane. During the summer we operate a full day summer camp program for children finishing kindergarten through 5th grade.
Child's full name? *
Mother's name? *
Father's name? *
Gender? *
Child's birthdate? *
MM
/
DD
/
YYYY
Phone number: *
Email Address: *
Residing county *
What elementary school does or will your child attend? *
What type of care are you interested in? *
Allergies or daily medications *
Needs that we may help your child with? *
Required
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