Part-Time Nursery School Application
Jackman Community Daycare operates a Part-Time Nursery School Program for 3 year olds.
The program operates during the school year from 9:00-11:30 AM. Two, three or five-day options are available.

(Families who require full-time care need to apply for daycare using the DAYCARE APPLICATION FORM.)
Child's Last Name *
Last Name
Child's Given Name(s) *
Child's Year of Birth *
Child's Month of Birth *
Child's Day of Birth *
Sex
Home Address (including Postal code) *
Parent # 1: Name *
Parent #1: Email Address *
Parent # 1: Primary Phone Number(s) *
Parent # 2: Name
Parent # 2: Email Address
Parent # 2: Primary Phone Number(s)
Please check your preference (your choice will not impact your acceptance - you can change your mind):
Siblings (if any) & their birth year
Other information relevant to the application
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