APPLY TO OUR CHILD CARE CENTER

Child Care Application

Applicant Biographical Information

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Applicant Present Address

Applicant Additional Information

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Hispanic?
How did you hear about us?

Parent 1 Information

Parent 2 Information

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If "Use Same Address as Applicant" was not selected, please insert alternate address below:

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Please identify any siblings who currently attend WMCC or WMA

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Grandparent Information

Occasionally, Waldron Mercy Child Care has opportunities to invite grandparents to school gatherings. Please provide the following information:

GRANDPARENT 1

Deceased?

GRANDPARENT 2

Deceased?

GRANDPARENT 3

Deceased?

GRANDPARENT 4

Deceased?