QGPCA After School Program Waitlist Form

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Thank you for your interest in the QGPCA After School Program!

Use this form to add your child to the waitlist for the QGPCA After School Program.
Please complete one form per child.

We provide after school care to children in grades 1 - 6, from 2:30-5:30 pm on school days, following the OCDSB calendar. Priority is given to families in the neigbourhood around the community center. It is the parent's responsibility to ensure that the child's school is able to provide bussing to our location, 48 Nanaimo Drive.

Email *

Child's first name *

Child's last name *

Child's birthday *

YYYY

School (or anticipated school) *

Child's Street Address *

Child's Postal Code *

Parent 1 First Name *

Parent 1 Last Name *

Parent 1 - Phone number *

Parent 1 - email *

Parent 2 - First Name

Parent 2 - Last Name

Parent 2 - Phone number

Parent 2 - email address

Anything else you would like to tell us?

Send me a copy of my responses.

Submit

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