WAITLIST FORM
Dear Prospective family, 

Thank you for inquiring at MEDI! We are excited about your interest in MEDI and look forward to serving your family soon. Please fill out the required information below. You will be notified when an opening for your child's grade becomes available. If at any time you would like to remove your child's information from our waitlist, please send an email to: medwayextday@yahoo.com
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Email *
Name of child(ren) *
Childs Grade for 2024-25 School Year *
Parent Name & Phone Number *
Parent Email Address
*
Please mark the afternoons you would like to enroll your child.
A copy of your responses will be emailed to the address you provided.
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