WAIT LIST Application
LINDSAY CENTRE FOR PRESCHOOL ENRICHMENT (Lindsay Montessori Preschool)
51 EGLINGTON STREET LINDSAY, ONTARIO K9V 3Z5 (705) 324-8514 lindsaypreschool.ca
Child's Name *
Child's Date of Birth *
Parent/Guardian Names *
Email (mother/guardian) *
Email (father/guardian) *
Address *
Phone number (home and/or cell) *
Business Phone
Any special needs and/or health problems?
Date of entry requested (child must be a minimum of 30 months) *
Program Requested *
Please indicate preferred time slot *
SIGNATURE (your name will be accepted as your signature) *
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** OFFICE USE ONLY **
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