Wait List Applicant Information

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

* 1. Child's First & Last Name:

* 2. Child's date of birth:

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**Children must be born between November 1, 2015 - January 31, 2017 to be eligible.**

* 3. Child's gender:

* 4. Parent 1:

* 5. Parent 2 (optional):

* 6. Are you a returning Toddler Center family?

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

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

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

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

* 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?

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

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

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

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