Wait List Application

Family Name *

Last Name *

Child’s Full Name *

Name used

Gender
FemaleMale

Date of Birth *

Current Age *

Family Address *

Parent 1 Name *

Parent 1 cell phone *

Parent 1 Employer *

Job Location *

Parent 1 Work Phone *

Parent 1 e-mail *

Parent 2 Name

Parent 2 cell phone

Parent 2 Employer

Job Location

Parent 2 Work Phone

Parent 2 e-mail

Best Number to call *

When are you looking to start at HDS (If less than 60 days from now, please fill out an Admissions Application, not this Wait List Application)? *

How long do you plan on attending HDS? *

Please select your enrollment choice
Full time (7am-6:30pm, Mon.-Fri.)2 Full days/wk (7am-6:30pm)3 Full days/wk (7am-6:30pm)

Please circle which 2 or 3 days
MTWThF

How did you hear about us? *

Please write your signature in the box below

Exceptional child care and early learning for today’s families.

Hours of Operation:

Monday- Friday : 7am – 6:30pm

Admin Panel

659 1st street
Hoboken NJ 07030

Email : admissions@hobokendayschool.com