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YMCA Child Care Waitlist and Registration Application Form
YMCA
2022-07-22T10:30:43-02:30
YMCA Child Care Waitlist and Registration Application Form
Child's Information
Child's Name
(Required)
First
Last
Child's Date of Birth
(Required)
Day
Month
Year
Child's Address
(Required)
Street Address
City
Postal Code
Does the child you are registering have a sibling(s) in another YMCA of NL regulated child care program?
(Required)
Yes
No
If yes, please indicate sibling(s) full name(s):
Parent/Guardian Information
Parent/Guardian # 1 Name
(Required)
First
Last
Parent/Guardian #1 Address
(Required)
Street Address
City
Postal Code
Preferred Phone #
(Required)
Alternate Phone #
Email
(Required)
Are you actively employed with the YMCA of NL?
(Required)
Yes
No
Parent/Guardian #2 Name
First
Last
Parent/Guardian #2 Address
Street Address
City
Postal Code
Preferred Phone #
Alternate Phone #
Email
Program Information
Program
(Required)
Infant
Toddler
Full Day Preschool
School Age - Bishop Feild Elementary
School Age - Calvary Baptist
School Age - Cowan Heights Elementary
School Age - Elizabeth Park Elementary
School Age - Holy Trinity Elementary
School Age - Octagon Pond Elementary
School Age - Paradise Elementary
School Age - Roncalli Elementary
School Age - St. Andrew's Elementary
School Age - St. Peter's Primary
School Age - St. Teresa's Elementary
School Age - Vanier Elementary
School Age - Juniper Ridge Intermediate
School Age - Holy Cross Elementary
School Age - All Hallows Elementary
School Age - Bay Roberts Primary
School Age - Macdonald Drive Elementary
Preferred Start Date
(Required)
Day
Month
Year
Payer Information
Please indicate who will be paying child care fees:
Payer #1
(Required)
Payer #2
Payer #3
Name of Person Completing Form
(Required)
First
Last
Date Completed
(Required)
Day
Month
Year
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