Orde Day Care | Before, Lunch and After school Grade 1 - 6 Application

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* 1. Contact Information

First Name

Last Name

Address

City

Province

Postal Code

Country

Email

Telephone

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* 2. Please check which program you would like to enroll

A.M. PROGRAM

LUNCH PROGRAM

P.M. PROGRAM

P.D. DAY CARE

MARCH BREAK CAMP

SUMMER CAMP

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* 3. Please enter the date you would like care to begin

Date

Date

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* 4. Child's Name (if known)

First Name

Last Name

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* 5. Please enter your child's birth date

Date

Date

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* 6. Gender of child?

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* 7. If we are unable to provide you a space in our before, lunch and after school school age program would you like to remain on the list for one year after your date of request? Please note that you must live within the boundaries of Orde Public School to be eligible to attend the school.

Yes

No

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* 8. You understand that we give priority to families who reside in the boundaries of Orde Public School

Yes

No

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* 9. You understand that if we should contact you for a space we request that you respond within 48 hours of receiving an email from the centre offering you space. If you do return our email we will remove you from our waiting list

Yes

No