DAYCARE APPLICATION FORM
Jackman Community Daycare offers full-time childcare for children in Jackman School’s catchment area. Care is available to children in Preschool (age 3) up to Grade 6. The Before & After (B & A) Programs for Kindergarten are run by the Daycare, serving as the TDSB’s Third Party Operator; the Daycare waiting lists are used to fill the JK and SK B & A spots. Daycare Applications are filed on the waiting list by birth year and in the order received.   Applications are not accepted until after the child's date of birth.  
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Child's Last Name *
Last Name
Child's Given Name(s) *
Child's Year or 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:  Address (if different from child's)
Parent # 2:  Primary Phone Number(s)
Siblings (if any) & their birth year
Other information relevant to the application
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