Child Waitlist Form - Infant/Preschool Program
This form will be used to put your child on the waitlist for our Infant/Preschool program (Ages 12 Weeks to 5 Years) at Splash Early Learning Centre located at 109 Pulford St. Once the form is complete, you will hear from someone to book a tour of the program (NOTE: tours are required before starting any of our programs)
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Email *
Child's Full Name *
Child's Birthdate *
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Parent's Names  *
Contact Info (Please include: Home address and Phone number to be reached at) *
Anticipated Start Date *
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Child's Allergies (if no allergies, please type None) *
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