EELC Waitlist Application
Thanks for your interest in joining the EELC Community!   Please fill out the waitlist form below. You will be formally added to our waitlist once we receive your application deposit. This is a non-refundable $250 application fee that will be applied towards your child's tuition if you are enrolled.  Checks made payable to EELC and mailed or dropped off at NOTE: Your application fee does not guarantee enrollment. 

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Email *
Child First Name *
Child Last Name *
Date of Birth (or baby’s due date)
MM
/
DD
/
YYYY
Parent/Guardian: First and Last Name *
Parent/Guardian Email Address *
Parent/Guardian Phone Number *
Desired start date
MM
/
DD
/
YYYY
Age Group (at desired start date)
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Desired Schedule 
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A copy of your responses will be emailed to the address you provided.
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