Waitlist Application Form

After submitting this form you will receive an email notification confirming receipt of your application.

We would ask you to also complete the City’s Centralized Waitlist form to establish consistent dates with both waitlists www.childcareinformation.ca

* Indicates a required field.
Parent/Guardian’s Full Name: *
Email: *
Child (1) * Family Name:
First Name: *
    Birthdate: *
    Child with exceptionalities:
Child (2)   Family Name:
First Name:
  Birthdate:
    Child with exceptionalities:
Child (3)   Family Name:
First Name:
  Birthdate:
    Child with exceptionalities:
Address/Street:  
City: *
Postal Code:  
Phone Number: *
Care type:
(Select one or the other) 		* I work traditional hours (Mon-Fri, 7AM-6PM)
I work non-traditional hours
Care is required (check): *
Sat-Sun Only
Evening/Nights 		Week Days
Other
Care required starting date: *
Location care is required: * Kanata
Carling
Care related to:
(Check all that apply) 		  Work School Job Search Other
Subsidized Required:  
Questions/Comments:  


Note: All information submitted is treated in compliance with Federal & Provincial Privacy Policies.
 
 
 
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