OOSC Waitlist Application Form

Please be informed of our prioritization policy below regarding the Waitlist

Waitlist is ordered with the following priority:

Parent's Name

First Name

Last Name

Child's Name

First Name

Last Name

Child's Date of Birth

YYYY

Grade Level of Child

Second Child's Name

Optional

First Name

Last Name

Second Child's Date of Birth

YYYY

Grade Level of Second Child

Third Child's Name

Optional

First Name

Last Name

Third Child's Date of Birth

Optional

YYYY

Grade Level of Third Child

Email Address

Phone Number

Requested Care Start Date

Please indicate the desired date of care. Please note, part time care is not provided under new COVID guidelines *

YYYY

Please indicate time of childcare (AM/PM/PD Days):

Select all that apply

PD Days

Message

By adding my name to the waitlist, I understand that I am not guaranteed placement and that I will be contacted when a space becomes available.

I understand