Registration/Waitlist Form
Thank you for considering our child care facility! We are a licensed child care facility for children ages 6 months old to kindergarten, however at the moment all of our classrooms are full. Please fill out the Jotform below to be added to the waitlist. We will email you to confirm that we have received your submission. Please note that it is nearly impossible to provide a timeline on the waitlist, as there are many factors at play, but we will contact you as soon as a space becomes available for your child. In the meantime, if you have questions or should you need to change any information, please email our director, Gita, at general@betterbeginningslacombe.ca. Thank you!
Parent #1 Name:
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Child #1 Name:
First Name
Last Name
Gender
Please Select
Male
Female
Child #1 Birth Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Allergies
Type a question
Child #2 Name:
First Name
Last Name
Gender
Please Select
Male
Female
Child #2 Birth Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Allergies
Type a question
Child #3 Name:
First Name
Last Name
Gender
Please Select
Male
Female
Child #3 Birth Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Allergies
Type a question
Parent #2 Name:
First Name
Last Name
Parent #2 Email
example@example.com
Parent #2 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Care Needed:
Full Time (3+ days per week)
Part Time (2 days per week)
Drop In Only (occasional care subject to availability)
Does your family qualify for/require subsidy?
Yes
No
Unsure
Days Needed:
Monday
Tuesday
Wednesday
Thursday
Friday
We will be offering Saturday care 1-2 days per month as well as Saturday evening care once a month, is this something you would be interested in? (fees for these services would not be covered in the general tuition but only charged by your usage of the services)
Yes!
No
Possibly
Unknown
Anticipated Start Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Information or Questions:
Thank you for taking the time to fill out this form, please watch for an email from one of our staff on updates about your child's enrolment to the program.
Submit
Should be Empty: