First Milestones Education and Childcare Waitlist
Please fill out the following form and review our parent handbook 
(please fill out an individual form for each child you are adding to the wait list)
Kindly note that First Milestones is a premium, private, award-winning, centre and are NOT affiliated with any government financial programs (including CWELCC and subsidy programs)
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Child's Full Name 
(if your child is not yet born please list your child as baby *last name*)
 *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Gender *
Desired Start Date (youngest we take is 14 months and walking) *
MM
/
DD
/
YYYY
Parent/ Guardian Name *
Parent/ Guardian Phone Number
*please enter phone number as follows* 
905-123-4562
 *
Parent/ Guardian Email *
Parent/ Guardian 2 Name
Parent/ Guardian 2 Phone Number 
*please enter phone number as follows* 
905-123-4565
Parent/ Guardian 2 Email
Does your child have any special needs? 
(speech delay, Autism, ADHD, ADD etc.)
 *
Required
Does your child have any special medical or additional information (e.g. medical conditions, skin conditions, vision/hearing difficulties) *
Please indicate any additional information that is relevant to the care of your child  (e.g., prone to colds, frequent shoulder dislocation, etc.) *
Comments/ Additional Information
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