Licensed Out of School Care Wait List

Licensed Out of School Care Wait List Online Form

Accepting wait list for Henderson and Sexsmith. 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
Please mark the time of your choice*
- Before School Only Care on Pro-D days, Winter/Spring Break is not guaranteed. $165
- After School Only Care on Pro-D days, Winter/Spring Break is not guaranteed. $400
- Before and After School Care on Pro-D days, Winter/Spring Break is guaranteed. $440
Notes*
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