Waiting List Child's First Name*Child's Last Name*Date of Birth* Date Format: DD slash MM slash YYYY Desired Start Date* Date Format: DD slash MM slash YYYY Program(s) Required* Infant Toddler Preschool Days Requiring Care (please check day(s))* Monday Tuesday Wednesday Thursday Friday Parent’s Name (Primary)*Parent's Email Parent's Phone*Parent’s NamePrevious child care attended?How did you hear about us? (helpful for targeted advertising)Upload Completed Registration form Internal 2024 waitlist
