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YMCA Pre-Kindergarten Waitlist Form
YMCA
2022-09-08T09:15:32-02:30
YMCA Pre-Kindergarten Waitlist 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
Please Select School
(Required)
A.P. Low Primary, Labrador City
Peacock Primary, Happy Valley-Goose Bay
Topsail Elementary, Conception Bay South
Sacred Heart Academy, Marystown
I confirm that my child is living in the catchment area for the selected school
(Required)
Yes, this is true
No, this is not true
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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