Waiting List Application

Enrollment

Contact Form (Not a waitlist application form)

Thanks for submitting!

Please note! Filling out the form above is not the complete waiting list application. This form is an initial contact form so we know you are interested. You must download our hard copy application via PDF and submit it to asydor@heritagecare.org once completed.   You must also complete a $45 wait list payment.  This can be completed through the Paypal link below.  Once everything is submitted, you will receive a confirmation that you have joined the waiting list.