Children's Circle Waitlist Form
If you wish to be added to our waitlist, please complete this form. If you are adding multiple children to our list please fill multiple forms with the same parent contact. Thank you.
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Child's First Name *
Child's Last Name *
Full Name of Parent/Guardian *
Email of Parent/Guardian *
Phone number of Parent/Guardian
Are you adding a child that is not born yet to the waitlist? *
Your child's Birthday or projected Due Date if Pregnant *
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What date do you require care? *
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What type of care are you looking for? (note: FT care is given priority) *
What category of care are you interested in wait-listing for?
Clear selection
For families interested in our School-aged program, which school will your child be attending? (currently we only do walking pick up from Kamloops School of the Arts and Lloyd George Elementary - however you are free to pick-up/drop-off your child to our centre if they attend another school)
Do you currently have a child attending Children's Circle?
Clear selection
Are either parent an employee of Interior Health?
Clear selection
Additional comments
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