<p>Thank you for printing and filling out this form completely. date: ______preferred start date*:______*please be as accurate as possible as this date is used to determine enrollment offers BCDC Wait List Form</p><p>Child Name: ______DOB or Due Date: ______(Month) (Date) (Year) </p><p>Parent /Guardian Information</p><p>Name: Relationship: Mother Father Other: </p><p>Address: (Number) (Street) (Apt. #)</p><p>(City) (State) (Zip Code)</p><p>Phone: ( ) ______Business phone: ( ) ______</p><p>Cell Phone: ( ) ______Email: ______</p><p>Employer: ______</p><p>Name: ______Relationship: Mother Father Other:______</p><p>Address: (Number) (Street) (Apt. #)</p><p>(City) (State) (Zip Code)</p><p>Phone: ( ) ______Business phone: ( ) ______</p><p>Cell Phone: ( ) ______Email: ______Employer: ______</p><p>How did you hear about BCDC? Word of mouth A BCDC Parent Other ______</p><p>This completed form should be mailed along with your non-refundable $100 Wait List Fee to: BCDC 3400 International Dr. NW, Washington, DC 20008. </p><p>OFFICE USE ONLY Classroom:______Deposit paid:______Date received: ______Check #: ______</p><p>Priority: Sibling Building Tenant Community </p>