Child Care Registration

Waiting List Form Submission

Request for Waiting List Placement

As part of the registration process, all applicants must complete our waiting list form. To register securely online, please fill out and submit the form below:

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Start Date

Name

First

Last

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Email Address

Cell Phone Number

Home Phone Number

Home Address

Address Line 1

City

State / Province / Region

Postal Code

Country

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Child Name 1

Child Birthdate 1

Child Name 2

Child Birthdate 2

Child Name 3

Child Birthdate 3

Care Required

Full Time
Part Time

Please specify care required

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Child Arrival Time

Departure Time

Parent's Name

Parent's Work Phone Number

Parent's Name

Parent's Work Phone Number

Method of Payment

Fee Paying
Subsidized: Full
Partial

How did you hear about our Centre?

Comments/ Questions

Note: The waiting list will be maintained in a manner that protects the privacy and confidentiality of the children and families on the list and therefore only the child’s position on the waiting list will be provided to parents. Names of other children or families and/or their placement on the waiting list will not be shared with other individuals.