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Inkster CC Waitlist
Primary Contact Linda Blair
Primary phone number 2045821755
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* Indicates required question
Address
*
Your answer
Mothers Name
*
Your answer
Child's Name
*
Your answer
Option 1
Clear selection
Primary telephone number
*
Your answer
Work telephone number
*
Your answer
Option 1
Clear selection
Time Stamp of Date of Entry Question
*
Option 1
Primary Contact Email Address
*
Your answer
Child's Birthdate
*
MM
/
DD
/
YYYY
Child's Current Age
*
Your answer
Child's Gender
*
Male
Female
Prefer not to say
Requested Start Date
*
MM
/
DD
/
YYYY
Program/Service Type
*
Preschool
Nursery
Kindergarten
School Age
Schools
*
Inkster School
Priorities List - select all that apply
*
Siblings of children presently enrolled in the program
Children who are attending Inkster School and live in Winnipeg School Division #1 area, and require full time care,
Preschool children who have siblings in the school age program and require full time care.
Not Applicable
Required
Are there any Additional Support needs
*
Yes
No
Previously on the Online Childcare Registry
*
Option 1
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