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(604) 468-4030
Enrollment
To enroll your child into our facility, please fill out and submit the form bellow and one our staff will contact you shortly to discuss options available to you and your child.
we appreciate you and your time.
Thank you
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Indicates required field
Name
*
First
Last
Child's Name
*
First
Last
Gender
*
Female
Male
Date of Birth
*
Please enter date of birth as month, day, year. Ex. March 23 2009
Child's Name
*
First
Last
Gender
*
Female
Male
Date of Birth
*
Please enter date of birth as month, day, year. Ex. March 23 2009
Email
*
Phone
*
Cell Phone
*
Work Phone
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
# of Days Needed
*
Monday
Tuesday
Wednesday
Thursday
Friday
Please check all days you require childcare for your child.
Drop / Pick up Times
*
Please indicate when you will Drop off your child and what time you like to pick up your child.
Starting Date
*
Please indicate the date you like to start your child at our center.
Has your child had previous group play experience?
*
Yes
No
Comment
*
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