Please only add your child to the draw 1 TIME.

If your child does not meet the age range posted and/or you cannot commit to the terms of the contract, your child will not be added to the lottery draw.

*1.Child's Name(Required.)

*2.The child must be born between the following dates in order to qualify for this space: June 1, 2025 to July 31, 2025. Please indicate your child's date of birth if they fit this range. Children born outside of this specific age range will not be added to the draw.(Required.)

*3.Are you a family currently enrolled in our MPCCA Childcare Programs?(Required.)

3 Corners Childcare 

Our House Preschool

Our House Out of School Care 

Not enrolled in any MPCCA childcare programs

*4.This is a TEMPORARY Full-Time space from Sept 1, 2026 to May 31, 2027 in our Infant program. Are you able to commit to attending the childcare space from the date mentioned above?(Required.)

Yes

No

Please note as this is a Temporary Space, we do not anticipate care extending beyond the contract term listed above.

*5.Contact information(Required.)

Parent/Guardian Name

Address

City

Province

Postal Code

Country

Email Address

Phone Number