Cathedral Area Co-operative Daycare Application Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in our family-governed co-operative daycare! We look forward to learning more about your family's needs.

Please submit the following information for EACH CHILD requiring care, and a staff or Board member will get back to you as soon as possible.

Families are required to call every six months to REMAIN on waitlist.

Email *

Child (full name) *

Child's birthday *

YYYY

Primary parent/guardian (full name) *

Secondary parent/guardian (full name)

Phone Number

Please leave the best phone number(s) to reach you at.

Email address

Please leave the best email address(es) to reach you at.

Start date requested *

This is the ideal date you would like your child to start attending the daycare.

YYYY

What kind of care are you seeking? *

Please note that in general we prioritize families seeking full-time care, but that part-time care is possible in some cases.

Full-time Toddler care (18 months - 2 1/2 years)

Full-time Preschool care (2 1/2 years - 5 years)

Full-time Kindergarten care

Before & After School care (including holidays and PD days) (grade 1 and up)

Before & After School care (excluding holidays and PD days) (grade 1 and up)

Holiday and PD days ONLY (grade 1 and up)

"Summer Day Camp" Full-time care (grade 1 and up)

"Summer Day Camp" Drop-in (grade 1 and up)

Other:

What days of the week are you requiring care?

Monday

Tuesday

Wednesday

Thursday

Friday

Is there anything else you'd like us to know?

How did you hear about our daycare? *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms