Barnard Center for Toddler Development 2019-2020 Admissions Wait List

Wait List Applicant Information

To add your child to our wait list, please enter the following information:

Question Title

* 1. Child's First & Last Name:

Question Title

* 2. Child's date of birth:

DOB

Date

**Children must be born between November 15, 2016 - January 31, 2018 to be eligible.**

Question Title

* 3. Child's gender:

Male

Female

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* 4. Parent 1:

First & Last Name:

Street Address:

City, State:

Zip:

Phone:

Email:

Place of employment:

Occupation:

Work schedule (days/hours):

Question Title

* 5. Parent 2 (optional):

First & Last Name:

Street Address:

City, State:

Zip:

Phone:

Email:

Place of employment:

Occupation:

Work schedule (days/hours):

Question Title

* 6. Are you a returning Toddler Center family?

Yes

If yes, please write name of sibling who attended here:

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* 7. Are there other children in the family? If yes, please specify below:

Yes

If yes, please specify ages and gender:

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* 8. Is either parent an employee of Barnard College?

Yes

If yes, specify department at Barnard College:

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* 9. Is either parent an alumnae of Barnard College?

Yes

If yes, please specify year graduated:

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* 10. Will your child attend another preschool or day care program next year?

Yes

If yes, what days/times?:

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* 11. We are a program inclusive of all children, including children with developmental delays and special needs. Does your child have any health or developmental issues you are concerned about?

Yes

If yes, please describe:

Question Title

* 12. Is your child currently receiving Early Intervention services?

Yes

If yes, please specify:

Barnard Center for Toddler Development 2019-2020 Admissions Wait List

Wait List Applicant Information

Question Title

* 1. Child's First & Last Name:

Question Title

* 2. Child's date of birth:

Question Title

* 3. Child's gender:

Question Title

* 4. Parent 1:

Question Title

* 5. Parent 2 (optional):

Question Title

* 6. Are you a returning Toddler Center family?

Question Title

* 7. Are there other children in the family? If yes, please specify below:

Question Title

* 8. Is either parent an employee of Barnard College?

Question Title

* 9. Is either parent an alumnae of Barnard College?

Question Title

* 10. Will your child attend another preschool or day care program next year?

Question Title

* 11. We are a program inclusive of all children, including children with developmental delays and special needs. Does your child have any health or developmental issues you are concerned about?

Question Title

* 12. Is your child currently receiving Early Intervention services?

Question Title

* 13. How did you hear about the Toddler Center?

Question Title

* 14. Is there anything else you would like us to know about your child? Please tell us here: