Daycare Program

We are now receiving applications for enrolment.  Applications for registration are processed on a "first come, first served" basis.

Please fill out the form below and click on the Submit button to send us your application.


Daycare Program Enrolment Application Form




Name:
Address:
Home Phone:
Business Phone:
Cell Phone:
Email:
1st Child's Name:
Birthday (dd/mm/yy):
Gender: Male    Female
2nd Child's Name:
Birthday (dd/mm/yy):
Gender: Male    Female
What days of the week are you wanting child care?:Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What hours are you wanting care?
Other comments: