Welcome to the Early Childhood Education Center (ECEC) Waitlist Application.  Completion of this form will put you on the waiting list for enrollment to the Early Childhood Education Center.  Receipt of payment will time/date prioritize your child(ren) on the waiting list.  All UC Merced affiliated families will receive a priority over community family applicant.  Applications without payment will not be put on the waiting list.
(Items with * are required.)
Parent *

UCM Affiliation *

Phone Number *

Email Address *

Parent
UCM Affiliation
Phone Number
Email Address
Referred by:
Child *

Child Birthdate *

Desired Entry Date *

Second Child
Second Child Birthdate
Third Child
Third Child Birthdate
Desired Enrollment Schedule





 

(Items with * are required.)

Input the digits into the box below.

*