Campus Children's Centre, Bannatyne Location, Waitlist
Online waitlist for CCC, Bannatyne Location ONLY. This Waitlist is not for the Fort Garry Campus location.
Contact Info: Dawn Montebruno at CCCi19138@gmail.com
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Email *
Primary Contact Name *
Primary Contact Address *
Primary Contact Phone Number *
Additional Contact Information, if applicable. For instance, if parents/guardians don't reside together
Child's First Name *
Child's Surname *
If Child is not born yet, please indicate here and add Expectant Birth Date in next question *
Child's Birthdate *
MM
/
DD
/
YYYY
Child's Gender *
Requested Start Date *
MM
/
DD
/
YYYY
Program/Service Type  *
Type of Care *
Affiliation List - Select All That Apply *
Required
Does your child have any Additional Support Needs? *
Any further comments you want us to aware of upon registration, such as Additional Health Concerns regarding your child, whether you're not in the province, child has a twin, etc...
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