Plano ISD Child Employee Child Care

Plano ISD Employee Child Care Center I & II

Wait List Application

· Complete one Wait List Application per child, expectant child, or future child you wish to enroll.

· After the Wait List Application has been submitted by email, an $85.00 check must be delivered to one of the Employee Child Care Centers within 72 hours.

· The application and the check will hold the wait list spot. Make check payable to Plano ISD-ECCC. This fee is non-refundable.

· In person: Drop completed Waiting List Application at the Employee Child Care Center 3901 Pebble Creek Court – Plano, Texas 75023 or 1313 18th Street - Plano, Texas 75074. The application will be dated and time stamped when received.

· By Email: Send completed Wait List Application as an email attachment to .

· Applications received for the wait list will be documented with the date and time once payment is received. After payment is received, the application is official and will be placed on the wait list.

Please circle the ECCC you would like for your child to attend:

3901 Pebble Creek Court (I) or 1313 18th Street (II)

Plano, Texas 75023 Plano, Texas 75074

Child's Information

Child's Name ______

Gender of Child ______

Date of Birth/Due Date ______

Plano ISD Employee is/are Mother Father Both Parents Other:

Do you currently have another child/children enrolled at the Employee Child Care Center? Yes or No

Parents/Guardians Responsible for Enrolling Child:

Name ______

Relationship to Child ______

Home Address ______

Home Phone ______Work Phone ______

Cell Phone ______Email ______Campus / Campus position ______

Name ______

Relationship to Child ______

Home Address ______

Home Phone ______Work Phone ______

Cell Phone ______Email ______

For Office Use Only:

Registration Fee Received YES NO Amount $ ______CK #______or Other Form of Payment ______

Date Application Received: ______Time Waiting List Application Received: ______a.m. / p.m.