Thank you for your interest in Little Friends Childcare Centre. All children are placed on a waitlist and once a space that suits your needs becomes available you will be notified by email to proceed to the registration procedure.Child InformationChild's Name* First Last Date of Birth* Month Day Year Guardian #1Guardian #1's Name* First Last Guardian #1's Email* Guardian #1's Phone Number*Guardian #2Guardian #2's Name First Last Guardian #2's Email Guardian #2's Phone NumberProgram RequestProgram Request* Half Day: 9:00am to 11:30am Half Day: 1:00pm to 3:30pm Daycare: 8:00am to 5:30pm How many days are you requesting?*1 Day2 Days3 Days4 Days5 DaysFor half-day (morning), which day do you prefer? Choose one.* Monday Tuesday Wednesday Thursday Friday For half-day (afternoon), which day do you prefer? Choose one.* Monday Tuesday Wednesday Thursday Friday For full-day daycare, which day do you prefer? Choose one.* Monday Tuesday Wednesday Thursday Friday For half-days (morning), which days do you prefer? Choose two.* Monday Tuesday Wednesday Thursday Friday For half-days (afternoon), which days do you prefer? Choose two.* Monday Tuesday Wednesday Thursday Friday For full-day daycare, which days do you prefer? Choose two.* Monday Tuesday Wednesday Thursday Friday For half-days (morning), which days do you prefer? Choose three.* Monday Tuesday Wednesday Thursday Friday For half-days (afternoon), which days do you prefer? Choose three.* Monday Tuesday Wednesday Thursday Friday For full-day daycare, which days do you prefer? Choose three.* Monday Tuesday Wednesday Thursday Friday For half-days (morning), which days do you prefer? Choose four.* Monday Tuesday Wednesday Thursday Friday For half-days (afternoon), which days do you prefer? Choose four.* Monday Tuesday Wednesday Thursday Friday For full-day daycare, which days do you prefer? Choose four.* Monday Tuesday Wednesday Thursday Friday Are you willing to take any days that become available? Yes No, I need these specific days and times Have you put in or plan to put in a referral for support for your child to Supported Child Development Program?* Yes No Waitlisted Do you feel that your child may need any extra support in the classroom? whether that is emotional, physical, behavioral,* Yes No Waitlisted If yes , please explain your concern and your thoughts of any extra support your child will benefit fromAre you seeing or on any waitlist for Speech and Language Development,* Yes No Waitlisted If yes , please elaborate your child speech /language concern . I.e. are they non verbal, do they have a slight delay ,are they able to communicate their wants and needsDo you request a visit to the centre? What days may you be available?Visiting: Visiting times are typically at 9:30 am. Days are subject to availability. Monday Tuesday Wednesday Thursday Friday Consent* By checking this box and submitting this inquiry form, you agree that all the information you have provided is true and accurate to the best of your knowledge and will let the administrator know if any changes are needed. You also understand and agree that the administration requires a minimum of 60 days in advance of your child's last day to ensure payments are stopped accordingly, and that it is the responsibility of you to keep your monthly fees current and on time in order for your child to continue at Little Friends. In not doing so, Little Friends will have the right to discontinue the held space replace the space with a family on the wait list. Thank you for your interest at Little Friends, I hope to have an answer for you soon. Diane Tolman Administrator