Little Lights Early Learning Centre Waitlist

Please note:

• Priority is given to those requiring full-time care.

• The waitlist doesn't always go numerically as we give priority to family's with children already enrolled in our programs.
• When accepting children from the waitlist it depends on their birthday dates and which classes have openings.

Child #1 Info

First Name*

Middle Name

Last Name*

Date*

Age*

Gender

Child #2 Info

First Name

Middle Name

Last Name

Date

Age

Gender

Please answer the following

Checkbox Group

Monday

Tuesday

Wednesday

Thursday

Friday

Please Select Start Date**

Parental Information

Mother's /Guardian First Name

Mother's /Guardian Last Name

Father's /Guardian First Name

Father's /Guardian Last Name

Please share with us one phone number that you can be reached at during business hours. Once contacted by phone or voicemail the spot with be held for 24 hours.

Phone number*

Please share with us one email address where we can contact you.

Email Address*

Home Address

Street Address

City

Postal Code

Mailing Address
(if different from above)

City

Postal Code

Comments

Please add any other information you would like us to know.