Join Our Community Waitlist Application Form Please select all categories that apply: Currently Enrolled Student Schedule Change Sibling of Currently Enrolled Student City/State Subsidized Wallingford United Methodist Church Member Parent/Guardian Name:Child's Name:Address:Home Phone:Work Phone:Email Address: Due Date (if expecting):Birth Date of Child: Date Care is Needed: Is full or part time care needed?Full-timePart-timeIf you are looking for full-time care, would you be flexible to start out with part-time care and move into full time when it became available?YesNoSpecify part-time days preferred:Monday, Wednesday, FridayTuesday, ThursdayAdditional Information:How did you learn about WCCC?PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
