BBCCC Waitlist Application Form

Bay Bulls Child Care Centre Waitlist Application Form
Date of Application (Today's Date):

MonthDayYear
Date
Number of Children Registering per Family:
Requested Start Date (pending availability):

MonthDayYear
Date
Child's Full Name:
Child's Date of Birth:

MonthDayYear
Date
Mailing Address:
Parent/Guardian Name:
Relationship to Child:
Home Phone #:
Work Phone #:
Cell Phone #:
Parent/Guardian Name:
Relationship to Child:
Home Phone #:
Work Phone #:
Cell Phone #:
Email Address:
example@example.com
Program Options and Descriptions

PRESCHOOL: This program is designed for children 36 months of age to school entry. (Full days only)

TODDLER CARE: A program designed for children age 24-36 months. (Full days only)

INFANT CENTRE: We offer an infant care program for children 0-24 months. The hours of operation for our infant centre are 7:45am to 5:00pm. (Full days only)
Full time (Full day)Full time over 8.5 hours
Full time (Full day)Full time over 8.5 hours
Full time (Full day)Full time over 8.5 hours
Should be Empty: