Waiting List Form

Salt Lake County Child Care Services | Caring For Kids

Child's Name

First Last

Child's Date of Birth

Father's Name

First Last

Father's Place of work

Employee Number

Father's work phone

Father's Home Phone

Mother's name

First Last

Mother's Work Place

Employee Number

Mother's work phone

Mother's Home Phone

Application Date

Desired Date of Placement

Do You want full time or part time?

Desired location

CAPTCHA

56955

Monday – Friday:
6:30 a.m. to 6:00 p.m.

We care for children from 6 weeks to 6 years

We provide Breakfast, lunch and snacks through the day

Full & Part Time, Curriculum Type: Developmental / Interactive Preschool

Our Ethnic/Religious Orientation is Multicultural!

Can Accommodate Special Needs on a Case by Case Basis