Waiting List Information
Please fill out and submit this questionnaire. A staff member will contact you about openings for the current year or to give you information about any upcoming registration times. If classes are full, we will gladly put your child on the waiting list for the earliest opening available. Thank you.

  

CHILD'S NAME
DATE OF BIRTH
AGE AS OF 9/1
GENDER Male    Female 
PARENTS NAMES
FATHER
MOTHER
COMPLETE ADDRESS
STREET ADDRESS
CITY, STATE  ZIP
PHONE NUMBERS
HOME
WORK
CELL
EMAIL ADDRESS  

We Are Interested In:

Full Time / Year Round Care:

Full Day 3 year-olds

Full Day 4 year-olds

Mornings / School Year Only:

2 Half Day (Thursday/Friday) 2 year-olds

3 Half Day (Monday, Tuesday, Wednesday) 3 year-olds

5 Half Day (Monday-Friday) 4 year-olds - PreK

We Are Interested In Our Child Starting School:

Immediately Current Age:

Fall 2006 Age on September 1, 2006:

Fall 2007 Age on September 1, 2007:

Fall 2008 Age on September 1, 2008:

Church Member:

Yes    No 

MESSAGE:

 

Anona UMC  13233 Indian Rocks Road  Largo, Florida 33774

Phone: (727) 595-2581  Fax: (727) 593-7269

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