Waitlist Registration

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Fields marked with an * are required

Child's Name *

Date of Birth

OR Due Date

1st Parent’s Name *

1st Parent’s Phone *

2nd Parent’s Name

2nd Parent’s Phone

Email *

Address *

Siblings

1. Does your child qualify for military priority as defined by the Tennessee Department of Human Services? *

2. Are you currently employed at SBC Preschool? If yes, in what capacity? *

3. Do you currently have a child enrolled at SBC Preschool? If yes, please list. *

4. Are you an active member of Second Baptist Church? *

5. Will your child be receiving a scholarship for tuition? (State Certificate, Promethean, etc.) *

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