Child’s Name:

Date of Birth:

Parent/Guardian:

Work Phone:

Home Phone:

Your Email (required)

Mailing Address:

Required Program:

Entry Date Required:

If we are unable to place your child by the above requested date, would you like your child’s name to remain on the wait list?     yes no

A $25.00 enrolment fee (to Sea to Sky Community Services Society) is required for all applications. All parents are also required to become a member of Sea to Sky Community Services Society. The cost is $5.00 per year. Parents are also welcome to volunteer or become a board member (at annual AGM).

Payment can be made bymailing a cheque or dropping by the office and paying by debit, Visa or Mastercard

Please note: Pre-enrolment does not guarantee a space, though every effort will be made to meet your request for childcare services. The pre-enrolment fee will be refunded if we are unable to place your child.

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