Stopnitzky Family Infant Toddler Program Waitlist

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To sign up for the Infant Toddler Center wait list, please fill out this form. Someone from our center will reach out to you upon completion.

* Child's Name (if sharing) or "Baby"

* Date (or anticipated date) of Birth

* Requested Schedule

* Requested Start Date

* Parent 1 First Name

* Parent 1 Last Name

* Parent 1 Address

* Parent 1 City

* Parent 1 Zip

* Parent 1 Email

Parent 2 First Name

Parent 2 Last Name

Check here if Parent 2 address is different from Parent 1

Parent 2 Email

* Acknowledgements, please check below indicating your agreement:

submitted application and $150 application fee are non-transferable and non-refundable ($150 will be applied to registration when enrolled)being on our waitlist does not guarantee enrollment in the programrequested start date is not guaranteed to be granted

Enter Total for Application Fee - *Reminder: Non-Refundable*

Sat, March 15 2025 15 Adar 5785

Temple Beth El of South Orange County
2A Liberty, Aliso Viejo, CA 92656
(949) 362-3999

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