Fort Collins Waitlist

Child's Name (if you are an expecting parent, put Baby and your last name)

Birthdate or expected due date

MM

/

DD

/

YYYY

Desired start date

MM

/

DD

/

YYYY

Age when starting childcare

Please select

Days Care Needed

Monday

Tuesday

Wednesday

Thursday

Friday

I am flexible

Other:

Parent or Guardian

Phone

Email

Tuition Assistance

Full Pay

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