Waiting List Application

Family Data
Email address
Child's Name
Child's Birthdate
Age
Parent/Guardian Name
Parent/Guardian Name
Home Address
Phone Number #1
Description (home, work, father, mother, etc.)
Phone Number #2
Description (home, work, father, mother, etc.)
Is either parent a U of M student?
Do you live in the Como Student Community Housing Cooperative?

Child Care Needs
Desired Start Date
Special needs or Requests for your child
Desired Enrollment