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Preferred location Downtown27th Avenue

Parent First Name

Home Address

Postal Code

Province

Preferred Contact Number

Alternate Contact Number

Email Address

Child(ren) info

Child First Name

Date of Birth

Requested start date

Gender BoyGirlDon't Know yet

Requested Days MonTueWedThurFri2 days/wk flexible based on availability3 days/wk flexible based on availabilityNotify me for any part-time spacesUnsure

Comments

Add a second child? YesNo

2nd Child First name

2nd Child last name

2nd child Date of Birth

2nd Child requested start date

2nd Child Gender BoyGirlDon't Know yet

2nd Child Requested Days Same as siblingMonTueWedThursFri2 days/wk flexible based on availability3 days/wk flexible based on availabilityUnsure

2nd Child Comments

How did you hear about For The Kids Daycare? SkipGoogle SeachGoogle mapsReferral - word of mouthChildhood Connections (Okanagan)Currently attendOther

Why For The Kids Daycare? Just need daycare!Location close to home or workWe heard great things about you and/or your facilitySibling attendsother

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