Trinity Early Learning Center

Trinity Early Learning Center Wait List Application

Date: ________________________

Name Called:________________________________________________ Age:__________ Sex: _____________

Birthdate/Due Date: Date of Need:________________________

Trinity Presbyterian Church Member: Yes   No

If Yes, How Long: ________________________

Parent or Legal Guardian:________________________________________________

Address Where Child Resides:________________________________________________________________________

Home Phone:____________________ Work Phone: ____________________
Cell Phone:____________________

Father/Legal Guardian E-Mail: ________________________________________________

Mother/Legal Guardian E-mail: ________________________________________________

Financial Aid Need: Yes&snbp;  No

If Yes, Estimated Gross Annual Income: $ ________________________

There is a non-refundable yearly renewable $100.00 wait list fee. Mail your check payable to Trinity Early Learning Center and this form to:

Trinity Early Learning Center

3003 Howell Mill Road NW

Atlanta, Georgia 30327

Upon acceptance into the program, a registration fee of $75.00 and the first week’s tuition is due before your child may begin. I understand that placing my child on the waiting list does not guarantee placement in the program, regardless of my priority status.

Signature ________________________________________________

For more information about the Center and tours, call 404-237-0980.