Parent Name *

First Name

Last Name

Phone *

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Child's Name *

Please complete one form for each child.

First Name

Last Name

Child's Birthdate *

MM

DD

YYYY

Which program are you applying for? *

Pre-Kindergarten (full-day) - 5 days per week - 2.5 to 5 years old

Preschool (half-day) - 5 days per week - 2.5 to 5 years old

Preschool (half-day) - 3 days per week (Mon/Wed/Fri) - 2.5 to 5 years old

Preschool (half-day) - 2 days per week (Tue/Thu) - 2.5 to 5 years old

Before & After School Care - only for Seaforth Elementary

Is your child potty-trained? *

N/A - already attending elementary school

Yes, fully potty-trained.

No, partially potty-trained (still requires assistance)

No, not potty-trained yet (requires diaper changes)

What is your child's typical nap routine? *

N/A - already attending elementary school

Multiple naps per day

One afternoon nap longer than 1 hour

Short/occasional naps

Rarely/never naps

What is your interest level in your child attending our centre? *

High - Dharma Kids Centre is my #1 choice

Moderate - I like your centre and I'm considering other centres

Unsure - I'm applying to multiple centres and will decide at a later time

What start date are you hoping for? *

Please note that the start date with the highest likelihood is September. That is when the most spaces open for our programs.

MM

DD

YYYY

How did you hear about us? *

If someone referred you, please let us know who in the comment box below so we can thank them.

Referral from Friend/Family

Google Search

Saw our centre in the neighbourhood

Child care listing service/map

Social Media (Facebook/Instagram)

Other