Waitlist Application

  • Child's Information

  • MM slash DD slash YYYY

  • Parent/Guardian Information

  • If affiliated with Cal Poly, ensure the primary name is listed here as parent/guardian 1.
  • If affiliated with Cal Poly, please use Cal Poly email.

  • Alumni Verification Information

    This information is used to verify alumni status for parent/guardian 1.
  • If affiliated with Cal Poly, please use Cal Poly email.

  • Alumni Verification Information

    This information is used to verify alumni status for parent/guardian 2.

  • Income Information

    Income information is only required if a family is applying for subsidized childcare (low-income). For specific information on what qualifies for subsidized care, please contact the Children's Center.
  • Check all that Apply
  • Check all that Apply
  • MM slash DD slash YYYY