BEL-C Childcare Pre-Enrollment Form

BEL-C Childcare

Nurturing minds, Shaping Futures
Overview

Beacons Early Learning Collective (BEL-C) is preparing a small-group early learning and care offering designed for families seeking consistency, relationship-based care, and a thoughtfully designed learning environment.

This program is intentionally small and operates outside of CWELCC in order to prioritize:
- stable, familiar caregivers,
- meaningful relationships, and
- a calm, enriching experience for children.
This form helps us determine fit and readiness as we assess whether a group will move forward.

Learn more about Beacons Early Learning Collective at our website.
Parent Information
First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Postal Code
e.g. K1C
Preferred method of contact
Child's Information
Child's First Name
Names of Siblings (if they also need childcare)
Age Band(s) of Child(ren) - select all that apply
Has your child previously been in a childcare setting? (select all that apply)
How long did they attend that program? (months)
Childcare Needs
What type of childcare do you seek?
When are you hoping care will begin?
How long do you expect to need care?
What days of the week wil you need care?
Our Center operates from 8:00 AM to 5:00 PM. Do you anticipate needing care outside of these hours?
Program Fit and Priorities
Which elements of care matter most to your family?
Have you previously declined or withdrawn from a CWELCC program?

Other
What influenced that decision?
Commitment Readiness
If invited to proceed, will you be ready to commit to (select all that apply):
Is there anything else you’d like us to know about your child or your family’s needs?
Acknowledgement
Privacy Statement
PRIVACY STATEMENT

Beacons Early Learning Collective (BEL-C) is committed to protecting the privacy and confidentiality of the families we serve.

The information collected through this form is used solely to:
- understand your family’s needs,
- assess program fit and group viability, and
- communicate with you regarding potential next steps.
Your information will not be shared, sold, or disclosed to third parties, except where required by law or for administrative purposes directly related to program planning.

Access to submitted information is limited to authorized BEL-C staff and is handled in accordance with applicable privacy and data protection standards.

If you have any questions about how your information is collected or used, you may contact us at: finance1@beaconselcollective.ca

Submitting this form indicates your consent to the collection and use of your information for the purposes outlined above.
Signature
Date

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BEL-C Childcare

Parent Information

Child's Information

Childcare Needs

Program Fit and Priorities

Commitment Readiness

Privacy Statement