Grand River ELA Wait List Application

Grand River Early Learning Academy Inc.

Wait List Application
Parent/Guardian

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Child's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Start Date Request

MonthDayYear
Date
Days Required - check all that apply
Kindergarten Before and After School - please select the school your child will be attending
Drop off time
Pick up time

*Times can be approximate.
Although we have applied, we currently do not have a CWELCC or Subsidy agreement with Haldimand County. These are things we are hoping for in the future, but it is completely out of our hands. Please choose one of the following options
Notes - please add any additional information you want us to know
Type a question
If you were referred by a family member or friend and would like to share who it was, we would love to thank them.
Should be Empty:

Grand River Early Learning Academy Inc.