990 West 59th Avenue Vancouver, BC - 604-325-5516
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Wait List Form

Marpole Oakridge Daycare Society operates an on-going wait list. If you are interested in your child joining our daycare centre please fill out the Wait List Form. A non-refundable fee of $40 is required to place your child on our wait list.

When we receive your form and you have indicated your choice of payment method, we then:

   a)  confirm with you that we have received your form
   b)  direct you how to proceed with your chosen method of payment

When payment is received, your child is then on our wait list and you will be contacted when space becomes available.

* = Required Field

 

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Today's Date

Month * Day * Year *

 

Requested Starting Date

Month * Day * Year *

Child's Info

Child's Name First * Last *

Date of Birth Month * Day * Year *

Gender * Male Female

Parent's Info

Parent's Name First * Last *

Relationship Choose * If other, please specify

Address

Apt./Suite Street *

City * Province * Postal Code

Contact Number

Home * Cell *

Work Email *

English Speaking Contact

First    

Last     

Phone  

Wait List Fee (check method of payment)

Bank e-transfer

Cheque

Additional Comments

Allergies or Medical Issues?

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