Southern Pines Enrollment Form

The Southern Pines campus of Sandhills Children’s Center currently has an extremely long wait list for enrollment for all age groups. While our waitlists continue to be extremely long, we realize that some on the lists have made other arrangements for child care and/or moved from the area. We will be accepting names for all age groups, but will reserve the right to limit the number on each list at any time.

If you have any questions, please get in touch with our enrollment coordinator, Cathy Pierce, by emailing her at cpierce@sandhillschildrenscenter.org or calling her at (919) 306-3540.

Guardian's Name

First Name

Last Name

Childs Name

First Name

Last Name

Childs Date of Birth

YYYY

Phone Number

(###)

###

####

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Southern Pines Enrollment Form

Sandhills Children’s Center

Info

Enrollment