Cathedral Area Co-operative Daycare Application Form
Thank you for your interest in our family-governed co-operative daycare! We look forward to learning more about your family's needs.

Please submit the following information for EACH CHILD requiring care, and a staff or Board member will get back to you as soon as possible.

Families are required to call every six months to REMAIN on waitlist.
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電子郵件 *
Child (full name) *
Child's birthday *
MM
/
DD
/
YYYY
Primary parent/guardian (full name) *
Secondary parent/guardian (full name)
Phone Number
Please leave the best phone number(s) to reach you at.
Email address
Please leave the best email address(es) to reach you at.
Start date requested *
This is the ideal date you would like your child to start attending the daycare.
MM
/
DD
/
YYYY
What kind of care are you seeking? *
Please note that in general we prioritize families seeking full-time care, but that part-time care is possible in some cases.
What days of the week are you requiring care?
Is there anything else you'd like us to know?
How did you hear about our daycare? *
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