Orde Day Care | Toddler Room Waiting List 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 enter the date you would like care to begin

Date

Date

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* 3. Child's Name (if known)

First Name

Last Name

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* 4. Please enter the your child's date of birth

Date

Date

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* 5. Gender of child?

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* 6. If we are unable to provide you a space in our toddler program would you like to remain on the list for a preschool space?

Yes

No

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

Yes

No

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* 8. 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