Waiting Pool Application

Thank you for inquiring about our Child Care Center. Please complete the following information in order to assist us in attempting to meet your childcare needs. Completion of this application is not a guarantee of availability of a slot for your child(ren). We are unable to foresee availability. Once you complete and submit the waiting pool application, you will receive a statement of confirmation. You will not receive an e-mail.

Parent(s) Information:

Fields with a * are mandatory.

IMPORTANT: By completing this form, you agree to receive information from Scripps Health. Your privacy is important to us. Please read our privacy policy for more information.

Note: Preferred starting date is not a guarantee that childcare will be available at this time. Please make alternate arrangements until we contact you with an opening.