Childcare Waitlist Application Form
Please complete this form if you wish to be added to our wait list. This is a free application.

Once you register your child, your information will go directly to our waitlist and you will receive a copy of your form as a confirmation email.                                                                           

 Please be aware that are waitlist is extensive, we will contact you if/when we have a childcare space to offer your family.                                                                                            

Unfortunately we are NOT able to give you estimated wait times for care, please do not contact us for this information.                                                                                                         

 If your child is over 2 years of age please know that the availability for childcare spaces is very limited, as the children from our infant program have priority for care as they age. 
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Email *
Your Name  *
Child's Name *
Your email address *
Telephone *
Your child's age when you would ideally want care?  *
Required
Child's birth date/due date *
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DD
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Ideal Start Date *
MM
/
DD
/
YYYY
Days of the Week *
Required
Are you ideally looking for part time or full time care ? *
Other comments?
Do either of the child's parents work for School District 71? *
Required
A copy of your responses will be emailed to the address you provided.
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