Kessler Park Day School Wait List for children 3 months through 5 years old. There is a $75 waitlist fee required to secure a spot on the waitlist.

Today's Date:

Anticipated enrollment date (month/year) required:

Students can sign up for the following options - check one:

Monday through Friday (5 days) Monday/Wednesday/Friday (3 days) Tuesday/Thursday (2 days)

Child's Name:

Child is Called:

Gender:

Male Female Other

If Other Gender, please identify preferred pronouns:

Birthdate:

Main Phone:

Main Email:

This address will receive a confirmation email

Address, City, State, Zip

Parent's Name:

Parent's Address (if different), N/A if not different:

Parent's Cell Phone:

For additional information and space availability, please contact the Director at 214-942-0098, Ext 7 or email pdo@kpumc.org.

Payment (required) $75

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please fill out this form and click submit.