Waiting List Form

If you are interested in placing your child(ren) on our waitlist, and you are not currently on our list, please fill out the form below.

If you are interested in applying for fee subsidy you may access information here:

"*" indicates required fields

Step 1 of 3 – Contact information

Child's Name*

Date of birth*

Parent / Guardian's Name*

Address*

Street Address City Province

Home Phone*

Cell Phone

Work/School Phone

Email*

Present Child Care

School Child Attending

Which center are you applying to?*

Enrollment Date*

(When you would like to start)

Attendance*

Days*

Monday

Tuesday

Wednesday

Thursday

Friday

Hours (Start of the day)

Hours (End of the day)

Will you be applying for subsidy?*

Yes