Wait List Applicant Information

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

Child's First & Last Name:

Question Title

* 1. Child's First & Last Name:

Child's date of birth:

Question Title

* 2. Child's date of birth:

DOB
**Children must be born between November 1, 2015 - January 31, 2017 to be eligible.**
Child's gender:

Question Title

* 3. Child's gender:

Parent 1:

Question Title

* 4. Parent 1:

Parent 2 (optional):

Question Title

* 5. Parent 2 (optional):

Are you a returning Toddler Center family?

Question Title

* 6. Are you a returning Toddler Center family?

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

Question Title

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

Is either parent an employee of Barnard College?

Question Title

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

Is either parent an alumnae of Barnard College?

Question Title

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

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

Question Title

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

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

* 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?

Is your child currently receiving Early Intervention services?

Question Title

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

How did you hear about the Toddler Center?

Question Title

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

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

Question Title

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

T