Waiting List Form

Salt Lake County Child Care Services | Caring For Kids

** Program Open Only to Children of ARUP Employees **

"*" indicates required fields

Child's Name

First Last

Child's date of birth (month/year only)

Parent 1 Name

First Last

Parent 1 Place of work

Employee Number

Parent 1 work phone

Parent 1 Home Phone

Parent 2 name

First Last

Parent 2 Work Place

Employee Number

Parent 2 work phone

Parent 2 Home Phone

Application Date

Desired Date of Placement

Do You want full time or part time?

Desired location

Children of ARUP Employees*

I understand this program is open only to children of ARUP and affirm that at least one parent is an ARUP Employee

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