Early Years Centre - Application of Interest
Email address *
How did you hear about The Early Years Centre? *
Desired Start Date *
MM
/
DD
/
YYYY
Child (1) Full Legal Name (First/Middle/Last) *
Your answer
Date of Birth (yyyy/mm/dd) *
MM
/
DD
/
YYYY
Child (2) Full Legal Name (First/Middle/Last)
Your answer
Child (2) Date of Birth
MM
/
DD
/
YYYY
Child(3) Full Legal Name (First/Middle/Last)
Your answer
Child(3) Date of Birth
MM
/
DD
/
YYYY
Primary Contact *
Primary Contact Name (First/Last) *
Your answer
Work Phone *
Your answer
Cell Phone *
Your answer
Half Day, Morning Only, 7:30am-12:30pm
Half Day, afternoons only, 12:30pm-5:30pm
Full Day 7:30am-5:30pm
I/we understand that: This application does not guarantee acceptance. Admission and placement recommendations will be in accordance with the Early Years Centre policy on entry age for each program. Review of applications and admissions of students is at the discretion of The Early Years Centre. The centre reserves the right to refuse admission or require the withdrawal of any child should the centre determine it is best for the child, or for the centre. I/we have disclosed full and accurate information and understand that withholding or falsifying pertinent information at any time may result in the non-acceptance or dismissal of the child.
The Early Years Centre collects personal information only for reasonable purposes related to school operation, administration, educational and volunteer acclivities, according to the Privacy of Personal Information Act. Once a child is accepted and enrolled in the centre the information provided on this form (child names and parent/guardian names) will be published internally for administrative use
Primary Contact Signature *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Cedar Bridge School. Report Abuse