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Waitlist

"*" indicates required fields

Child's Name*

Date of Birth*

MM slash DD slash YYYY

Email*

Father's Name

Cell Phone

Work Phone

Which Location(s)?*

KSA Clemson
700 College Avenue
Clemson, SC 29631

KSA Anderson
117 Midtown Square
Anderson, SC 29621

KSA Anderson- New
515 Camson Rd. Building B
Anderson, SC 29625

Mother's Name

Cell Phone

Work Phone

Date Care Needed*

MM slash DD slash YYYY

Does any of the child's siblings currently attend the center?*

Yes

No

How did you hear about us?

Classroom Desired*

Infant

Pretoddler

2K

3K

4K

Afterschool K-4th

Please check the appropriate box

Signature*

Date*

MM slash DD slash YYYY

Please note there is a $50 processing fee with each child waitlist application form. Please make checks payable to Kids Stuff Academy. The completion of this form does not guarantee a position for your child.

Payment Information

Address*

Street Address Address Line 2 City State ZIP Code

Waitlist Fee

Price:

Credit Card*

Card Details

Cardholder Name

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First Choice

Second Choice

Third Choice

Comments

This field is for validation purposes and should be left unchanged.

Call Us Today

864-784-5117 (Clemson 7am-5:30pm)

864-225-7883 (Anderson 7am-5:45pm)

864-532-2404 (Camson Rd 7am-5:45pm

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