Waiting List Submission Form
10925 87 Avenue NW | Edmonton, Alberta | T6G 0X4
Phone: 780-432-0345 | Email: gasc@telusplanet.net
Child Information
First Name *
Your answer
Last Name *
Your answer
Requested Start Date at the Centre *
MM
/
DD
/
YYYY
Child's grade at time of start date *
Your answer
Birthday of Child *
MM
/
DD
/
YYYY
Contact Information
Name of contact person and relationship to child *
Example: Jan Smith (Mother)
Your answer
Phone Number *
This is the number we will call in order to inform you of acceptance or rejection to our program.
Your answer
Email *
Email address that we can contact you about acceptance or rejection to the program.
Your answer
Is the Child Registered in Garneau School?
Would you like Summer Care or Full Year Care?
Submit
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