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CSPU6 Waiting List Form

Please fill all the information below. If you prefer you can download a PDF version of this form and mail, fax or deliver it to:

Community School for People Under Six
400 Caldwell Street
Chapel Hill, NC 27516

919.929.1543

All fields are required, if you have any questions please call us.

Child's Name:
Date of birth:
Mother Name:
Father Name:
Address:
 
City:
State:
Zip:
Mother Home Phone:
Mother Work Phone:
Father Home Phone:
Father Work Phone:
Mother Employer
Father Employer
Source of Tuition Payment:




If other, please specify:
Gross Family Income:
Date you wish to enroll:
Submited by:




   


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CSPU6 Waiting List Form

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CSPU6  |  400 Caldwell St.  |  Chapel Hill, NC 27516  |    |  919.929.1543
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