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Messiah College
Early Learning Center
Lab School Waiting List Form

Office Hours Monday-Friday
8:00 am - 5:00 pm
(717) 796-5043
(717) 691-6085


Please complete this online form, which will be sent to the Messiah College Early Learning Center. We will contact you in the spring with our availability. At that time, you may submit the $40.00 registration fee to reserve your child's place.

Child's Name: Date of Birth:
    Gender: Male Female
Mother's Name: Business Phone:
    Mobile Phone:
Father's Name: Business Phone:
    Mobile Phone:
Home Phone: Street Address:
Email Address: City:
Is either parent employed by Messiah College?
 State:
Is either parent a Messiah College Alumnus/a?
 Zip:
Please Select Preferred Class Session
Academic Year (includes Fall & Spring Semesters)
Parent Comments:
Messiah College | One College Avenue | Grantham, PA 17027 | 717-766-2511
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