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Sign Up Form

Sign up is free until January 2011!

Fields denoted with a * are required.

Daycare Name:	*
Address:	*

City:	*
Province:	*
Postal Code:	*

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

Facility Type:

Are you licensed by your provincial government?:

What type of environment do you provide? Check all that apply.

Pet Free

Non-Smoking

Languages spoken at your day care:

Years of child care experience:

Certifications. Check all that apply.

First Aid	CPR
Early Childhood Education

Earliest drop off time:

Latest pick up time:

Availability. Check all that apply.

Full Time	Part Time
Before School	After School
Weekends	Emergencies

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

We require you to confirm a security code to prove that you are a real person.

Security Code:
Enter Security Code:	*

Password:	*
Verify Password:	*

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.