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Educara WaitlistÂ
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* Indicates required question
Today's Date
*
MM
/
DD
/
YYYY
Student Information
First Name
*
Your answer
Last Name
*
Your answer
Students Birth date
*
MM
/
DD
/
YYYY
Address
*
Your answer
City
*
Your answer
Province
*
Your answer
Postal Code
*
Your answer
Enrolment Information
Do you have another child/Children currently or previously enrolled in Educara?
*
Yes
No
Siblings Name
Your answer
Please select the program you are interested in:
*
Preschool (2.5 years -4 years)
Toddler Program (18 months -2.5 years)
Required
Program Details
* Core Program hours are 9:00am-4:00pm Monday thru Friday. Please note you can select "
YES
" for both Part time and Full time if you are willing to accept the first opening for a student in the program.
Program Preference
*
Full Time (5 Days per week)
Part Time (2-3 Days per week as available)
I would be interested in a Part Time or Full Time space as one becomes available.
Required
Desired start date (Please note this date is not guaranteed. Start dates will be discussed and confirmed during the registration process)
*
MM
/
DD
/
YYYY
Parent/Guardian Information
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Parent/Guardian Email
*
Your answer
Parent/Guardian Phone #
*
Your answer
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