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Home > Children's Center > Waiting List Information File Form

Waiting List Information File Form

Please fill out this form completely.

* Denotes a required field.

Child's Information

* First Name:

Middle Name:

* Last Name:

Date of Birth:

* Gender:

Mailing Address:

City:

Line 2:

State:

ZIP:

Home Phone Number:

2nd Phone Number:

Parent/Guardian's Information

Mother's Name:

Work Phone Number:

Place of Employment:

Father's Name:

Work Phone Number:

Place of Employment:

Recommended By:

The age-appropriate list is based on the sex of the child, age of the child by September 1st, and date the form is received. Each individual child in a family must be put on the age-appropriate list. There is no priority for TCC faculty, staff, or students. Parents must call the center at least once a year to stay on the list and to update addresses and telephone numbers. If this information is not updated and the center is unable to contact your family, we will fill the opening with the next name on the list. This application does not obligate the parent to enroll this child, nor does it obligate the Children's Center to accept this child.

By entering your email address below, you acknowledge that you have read and understand the guidelines listed above. Thank you.

* Parent's Email Address:

Tarrant County College District 1500 Houston Street Fort Worth, Texas 76102
Information Center: 817-515-8223 Hearing / Speech Impaired (TTY)
Online Institutional Resumes (per Sec. 51A.002, Texas Education Code)
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