Join our Waitlist - Wild Roots Holistic Learning Center

Waitlist Form

Prospective Student's Name *

Prospective Student's Birthdate *

Desired Classroom

Desired Days

Desired Schedule

Desired Start Date

We do not guarantee that your desired start date will be available but will do our best to accommodate, if possible.

Parent/Guardian 1 Full Name *

Parent/Guardian 1 Phone Number *

Parent/Guardian 1 Email Address *

Street Address *

Apartment, suite, etc

City *

State *

ZIP Code *

Country

Parent/Guardian 2 Full Name

Parent/Guardian 2 Email Address

Parent/Guardian 2 Phone Number

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Acknowledgement

Wait list students are students whose families have committed to start their child as soon as their desired classroom/schedule becomes available. The wait list is mainly utilized due to a classroom being at its full capacity. If the class you desire for your child is not at its full capacity, your child's spot can only be held for up to 30 days. Wild Roots Holistic Learning Center does not hold spaces on our wait list for current students with a desired start date that is in the future

I understand and acknowledge that my $75 wait list fee holds my child’s place on the wait list, is non-refundable and will be applied to my $190 registration fee which is due at the time of my child’s enrollment.

Please check to confirm: *

By checking this box, I agree to the statements above

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