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School & Child Care Centre Registration Form
Centre Name:
Address:
City:
Postal Code:
Province:
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Phone:
Fax:
Email:
Contact Title:
Contact Name:
Web site:
In operation since:
Hours:
Staff Qualifications:
Staff with CPR:
Hot Meals/Snacks:
Facility Type:
Transportations:
Curriculum Type:
Toilet Training Required:
License#:
Current Openings:
Ages:
Ratio:
Licensed Capacity:
Please check applicable boxes below:
DAYCARE(FULL DAY):
NURSERY(HALF DAY):
LICENCED HOME CARE:
MONTESSORI:
PRIVATE SCHOOL:
PARENT CO-OPERATIVE:
INFANT CARE:
DROP-IN:
EXTENDED HOURS:
FRENCH:
COMPUTERS:
BEFORE & AFTER SCHOOL:
SUMMER CAMP:
SUBSIDIZED SPACES:
SPECIAL NEEDS:
JUNIOR KINDERGARDEN:
SENIOR KINDERGARDEN:
WEB VIDEO:
Fee Shedule:
Philosophy / Mission Statement:
Program information:
Highlights:
Name of Person submitting Registration:
I am agreeing to the terms of this agreement and accept that payment is due within 30 days from submission
Verification Code:
Please re-enter verification code as seen above:
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info@childcaredirectory.com