Licensed Out of School Care Wait List for Sexsmith School

Licensed Out of School Care Wait List

Out of School Care (Kindergarten to Grade 7)

Accepting wait list Sexsmith and Henderson Schools. Please use the form below for wait list inquires.

Child's Name*
Child's Name
Gender*
- M
- F
Date of Birth*
MM slash DD slash YYYY
Name of School*
Grade*
Any Previous Experience*
Any Allergies*
Any Health/Developmental concerns*
Desired Start Date*
MM slash DD slash YYYY
Transfer?*
- Yes
- No
Contact Person*
Contact Person
Email*
Phone1.*
Phone 2.*
Address*
Street Address City Province Postal Code
Notes*
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