Waitlist Form

Daycare Connection Childcare Society is a small intergenerational, play and place based daycare that is governed by a parent board.

There are two multiage programs. Each program has a daily maximum of eight (8) children which means that the total number of children that the daycare can have each day is sixteen (16).

The advantage of being small is that we can focus on the daycare fitting the needs of the children and families rather than insisting the children and families fit the daycare. In addition, having a multiage program means that your child (and you) don't have to go through the normal transition from an infant toddler program to a three to five program. Your child will only age out of the program when they go to kindergarten.

We are located on the bottom floor of the David Lloyd Jones seniors care home and the children and teachers interact with the grandma's and grandpa's that live upstairs on a regular basis.

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Please visit Finding Quality Care for more information on what to look for in childcare environments

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I am a

Preferred Start Date

When you would like your child to start at the daycare

Please call if a space becomes available before preferred start date

Child's Name

First NameMiddle NameLast Name

Birthdate (or due date)

MonthDayYear

Development (check all that apply)

Please provide any further information about your child's development that you think is important for us to know.

Second Child

First NameMiddle NameLast Name

Birthdate (or due date)

MonthDayYear

Development

Please provide any further information about your child's development that you think is important for us to know.

Third Child

First NameMiddle NameLast Name

Birthdate (or due date)

MonthDayYear

Development

Please provide any further information about your child's development that you think is important for us to know.

Parent / Guardian 1

First NameLast Name

Preferred Pronouns

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Preferred contact phone Number

what number you would like the daycare to phone firstFormat: (000) 000-0000.

Alternate Number

number you would like the daycare to contact you at if we cannot reach you at the other phone number Format: (000) 000-0000.

Email

example@example.com

Signature

Parent / Guardian 2

First NameLast Name

Preferred Pronouns

Address (if different from above address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Preferred contact phone Number

what number you would like the daycare to phone firstFormat: (000) 000-0000.

Email

example@example.com

Signature

Further comments (please use this spot for any additional children you want to enroll or for anything else you want to tell us.

Date submitted

MonthDayYear

WAITLIST APPLICATION

Please note that tours are only done when a space becomes available. Families are then given 24 hours after the tour to decide if they want the spot.

Children must be enrolled on fulltime basis (Monday to Friday). However, parents/guardians are not required to bring thier child every day and they have the ability to choose the hours the child is at the daycare each day - within the daycare's operating hours.

Enrollment Information

Child Information

Parent / Guardian Information