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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

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

Parent/Guardian #2 Name

First Last

Parent/Guardian #2 Address

Street Address City Postal Code

Preferred Phone #

Alternate Phone #

Program Information

Please Select School(Required)

Bay Roberts Primary, Bay Roberts

Bishop Abraham Elementary, St. John’s

Bishop White School, Port Rexton

East Point Elementary, St. John's

Elizabeth Park Elementary, Paradise

Holy Trinity Elementary, Torbay

Paradise Elementary, Paradise

Peacock Primary, Happy Valley-Goose Bay

Persalvic Elementary, Victoria

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

Preferred Start Date(Required)

DD slash MM slash YYYY

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

Ches Penney Family YMCA

35 Ridge Road, St. John’s, NL, A1B 4P5

P.O. Box 21291, St. John’s, NL, A1A 5G6

Phone: (709) 726–YMCA (9622)

Hours:

Mon to Thu: 5:00am – 10:00pm
Fri: 5:00am – 9:00pm
Sat & Sun: 7:00am – 8:00pm

Marystown YMCA

Marystown Recreation Complex

2B Harris Drive, Marystown, NL, A0E 2M0

P.O. Box 1308, Marystown NL A0E 2M0

Phone: (709) 279–YMCA (9622)

Hours:

Mon to Thu: 6:00am – 8:30pm
Fri: 6:00am – 7:00pm
Sat & Sun: 7:00am – 7:00pm

Central Labrador YMCA

Labrador Wellness Centre

2 Corporal O’Quinn Blvd., Happy Valley-Goose Bay, NL, A0P 1E0

P.O. Box 659, Station C, Happy Valley-Goose Bay, NL, A0P 1C0

Phone: 709-896-YMCA (9622)

Hours: Mon to Thu: 6:00am – 10:00pm
Fri: 6:00am – 9:00pm
Sat & Sun: 8:30am – 9:00pm

YMCA NL Administration and Project Offices

Regatta Plaza

2nd Floor, Regatta Plaza II, 84-86 Elizabeth Avenue, St. John's, NL A1A 1W7

P.O. Box 21291, St. John's, NL A1A 5G6

Hours: Mon to Fri: 8:00am – 4:00pm
Holidays: Closed

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YMCA of Northeast Avalon Inc. operating as YMCA of Newfoundland and Labrador - Charitable Registration #108225533RR0001.

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YMCA Pre-Kindergarten Waitlist Form

Child's Information

Parent/Guardian Information

Program Information

Payer Information