Children's Circle Waitlist Form

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If you wish to be added to our waitlist, please complete this form. It should take 0-3 minutes and you will be provided with email confirmation. If you are adding multiple children to our list please fill multiple forms with the same parent contact. There is a notes box at the end for any additional comments you may want to share with us.

Please note that we only offer full-time care as of September 2022. In recognition of the strong partnership between our Society and Interior Health, we offer priority placement for IHA employees.

Email *

Child's First Name *

Child's Last Name *

Gender *

Female

Male

Other or Unknown

First Name of Parent/Guardian *

Last Name of Parent/Guardian *

Phone Number of Parent Guardian *

Are you adding a child that is not born yet to the waitlist? *

Yes

Your child's birthday or projected due date if pregnant *

YYYY

Children's Circle only offers full-time spaces, are you aware of this?

Yes

Clear selection

What date do you require care? *

YYYY

What category(ies) of care are you interested in wait-listing for ? *

Infant/Toddler (0-35 months old)

3-5 Program (for children aged 3-5 years)

School-aged program - Before school 6:45-8:15am

School-aged program - After school 2:30-5:30pm

Pre-school (4 hr program four days per week) 9am-1pm, Mon-Thurs, Sept-June

Required

For families interested in our school-aged program, please note that we only provide walking pick up from Lloyd George Elementary and Kamloops School of the Arts. Please let us know which school your child will be attending? *** please note that we are no longer accepting waitlist applications for school-aged care***

Lloyd George Elementary

Kamloops School of the Arts

Clear selection

Do you currently have a child attending Children's Circle?

Yes

Previously

Clear selection

Please let us know if any of the following categories apply to either parent. (proof will be required) *

Interior Health Authority employee

Medical Physician

City of Kamloops employee

Resident of Sagebrush Neighbourhood (S. of Columbia St, E. of 6th Ave)

None of the above

Required

Additional comments:

A copy of your responses will be emailed to the address you provided.

Submit

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