CTKEEC Wait List Form
First & Last Name
Child's First & Last Name
Child's Date of Birth
Are you a registered parishioner at CTK Church?
Wanting to register/would like more information
How did you hear about us?
Resource and Referral Agency (Childcare Aware)
Type of Care Needed:
Infant (6 weeks to 1 year and walking)
Toddler 1 (1 year to 2 years)
Toddler 2 (2 years to 3 years)
Preschool 3 (Fully potty-trained; three years away from Kindergarten)
Preschool 4 (two years away from Kindergarten)
PreKindergarten (one year away from Kindergarten)
Part-Time PreKindergarten (3-5 years old, M-F mornings)
School Age Before/Aftercare Program
Summer Camp 2019
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