Application

Please note that filling out this application registers your spot on our Wait List, but does not guarantee enrollment. As space becomes available, the Director will contact you through the e-mail provided in the below application.

Join the WCCC Wait List

Today's Date

Desired Start Date

Child's Last Name

DOB/Due Date

First name

Street Address

City

Postal / Zip code

Region/State/Province

Parent/Guardian 1 Last Name

Parent/Guardian 1 Email

Parent/Guardian 1 First Name

Parent/Guardian 1 Primary Phone

Parent/Guardian 1 Address

Same as Child

Different

Street Address

City

Postal / Zip code

Region/State/Province

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email

Parent/Guardian 2 First Name

Parent/Guardian 2 Primary Phone

Parent/Guardian 2 Address

Same as Child

Different

Street Address

City

Postal / Zip code

Region/State/Province

In the event that my family is no longer interested in enrolling in WCCC, I certify that I will notify the Center in writing by emailing wccc@wm.edu If I am notified of an available space, I will respond within 48 hours or the space may be released to the next available family.

APPLICATION FEE

A $52 non-refundable fee is required to finalize your application. The application fee does not guarantee enrollment. Once you click 'Submit' below, you will be directed to Payment Portal.

Application

Join the WCCC Wait List

APPLICATION FEE

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