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Sign Up Form

Sign up is free until January 2011!


Fields denoted with a * are required.

Name & Address

Daycare Name: *
Address: *
 
City: *
Province: *
Postal Code: *

Contact Information

Primary Contact Person: *
Secondary Contact Person:
Telephone #: *
Fax #:
Email Address: *
Please note that your email address will also be your login username.
Website:

Facility Information

Facility Type: *
Are you licensed by your provincial government?: *
What type of environment do you provide? Check all that apply.
Pet Free Non-Smoking

Child Care Provider Information

Languages spoken at your day care: *
Years of child care experience: *
Certifications. Check all that apply.
First Aid CPR
Early Childhood Education  

Hours of Operation

Earliest drop off time: *
Latest pick up time: *
Availability. Check all that apply.
Full Time Part Time
Before School After School
Weekends Emergencies

Meals & Activities

Do you provide meals and snacks? Check all that apply.
Breakfast Lunch
Snacks Dinner

Are these meals included in your fees?


What activities do you provide for the children? Check all that apply.
Crafts Storytelling
Music Games
Field trips Outdoor play

Comments/Description

Please enter a short description about yourself or your child care facility.


Security Code

We require you to confirm a security code to prove that you are a real person.
Security Code:
Enter Security Code: *

Login Password

Password: *
Verify Password: *

Agreements

I have read the Terms of Service agreement and I understand and agree with its terms and conditions.
I have read the Privacy Policy agreement and I understand and agree with its terms and conditions.
I acknowledge that the annual registration fee is waived prior to January 1st, 2011.



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