Register: Wait List

Parent Name(s)          Phone      

Address                        Email   

Child's Name               Child's DOB 

 

 

Date you would need care 

 

                                                  

 

Welcome to Christ Lutheran Children's Center Full Day Wait List Registration.  Please fill in the above information.  Upon receipt of your $30 fee*,  your child will be placed on the list.  Please mail your fee to:

 

 

 

*  Note:  You will not be placed on the waiting list until the $30 fee has been received.  You will be notified when your name is added.