Saturday, 19 May 2012
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10881 Tierrasanta Blvd.
San Diego, CA 92124
(858) 560-5686
Adays@vgc.org
Adventure Days Preschool Waiting List Form
Today's Date:
*
Child's Name:
*
Potty Trained?
*
Click "Yes" or "No"
Yes
No
Birth Date:
*
Father's Name:
Father living at home?
Yes
No
Mother's Name:
Mother living at home?
Yes
NO
Address:
*
City:
*
ZIP:
*
Contact Numbers: Type best contact number here. Fill in others below.
*
Home:
Father's Work:
Father's Cell:
Mother's Work:
Mother's Cell:
Other:
Email Address:
Daily Program Preferences - Check all that apply
*
Monday - Full Day
Monday - Morning Only
Tuesday - Full Day
Tuesday - Morning Only
Wednesday - Full Day
Wednesday - Morning Only
Thursday - Full Day
Thursday - Morning Only
Friday - Full Day
Friday - Morning Only
Desired enrollment date? (Based on availability):
*
Is your child currently enrolled in a preschool program?
*
Check "Yes" or "No"
Yes
No
How did you here about Adventure Days?
Please Note:
Please disregard possible "Error 404" message after hitting the "Submit" button. We will receive your request. Thank you.
