WAITLIST Registration for Camelot (@ Columbia Elem.), Skaha, & West Bench.
Leapin' Lizard's Daycares Inc., Penticton, BC. Part-time childcare is based on availability and only available at the West Bench location, full-time childcare is always priority.
Requested Enrolment Date
*
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Month
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Day
Year
Date
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CHILD'S INFORMATION
Child's Name
*
First Name
Last Name
Middle Name, if applicable
Child's Birth Date
*
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Month
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Day
Year
Date
Male or female?
*
Female
Male
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PARENT/GUARDIAN INFORMATION
Name of Parent/Guardian #1
*
First Name
Last Name
Main Phone Number
*
Please enter a valid phone number.
Email address
*
example@example.com
Name of Parent/Guardian #2, if applicable
First Name
Last Name
Main Phone Number
Please enter a valid phone number.
Email address
example@example.com
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CHILDCARE NEEDS
Leapin' Lizard's has 4 Locations in Penticton, BC!
Requested Childcare Centre
*
Please Select
Camelot (@ Columbia Elementary)
Skaha Elementary
West Bench Elementary
Childcare Required (select all that apply) Part-time childcare is based on availability and only available at the West Bench location, full-time childcare is always priority.
*
Full-time Before & After School
School Break Childcare (Winter/Spring)
Pro-D Day Childcare
Summer Childcare
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