South Vancouver Neighbourhood House Salmonberry Child Care Centre Waitlist Application Form

How many children would you like to add to the waitlist?*

1st Child Information

Name*

First Last

Birthdate*

Gender*

Female

Male

Non-Binary

Other

Please specify:*

Which class waitlist(s) would you like your child added to?*

Has your child been registered at any of our South Vancouver Neighbourhood House Preschool and/or Family Programs since January 2021?*

Yes

No

Please provide program name:*

Does your child have any extra support needs, or other care needs we should be aware of to provide our best care?*

Yes

No

If yes, please specify:*

Deposit subtotal:

2nd Child Information

Name*

First Last

Birthdate*

Gender*

Female

Male

Non-Binary

Other

Please specify:*

Which class waitlist(s) would you like your child added to?*

Has your child been registered at any of our South Vancouver Neighbourhood House Preschool and/or Family Programs since January 2021?*

Yes

No

Please provide program name:*

Does your child have any extra support needs, or other care needs we should be aware of to provide our best care?*

Yes

No

If yes, please specify:*

Deposit subtotal:

3rd Child Information

Name*

First Last

Birthdate*

Gender*

Female

Male

Non-Binary

Other

Please specify:*

Which class waitlist(s) would you like your child added to?*

Has your child been registered at any of our South Vancouver Neighbourhood House Preschool and/or Family Programs since January 2021?*

Yes

No

Please provide program name:*

Does your child have any extra support needs, or other care needs we should be aware of to provide our best care?*

Yes

No

If yes, please specify:*

Deposit subtotal:

4th Child Information

Name*

First Last

Birthdate*

Gender*

Female

Male

Non-Binary

Other

Please specify:*

Which class waitlist(s) would you like your child added to?*

Has your child been registered at any of our South Vancouver Neighbourhood House Preschool and/or Family Programs since January 2021?*

Yes

No

Please provide program name:*

Does your child have any extra support needs, or other care needs we should be aware of to provide our best care?*

Yes

No

If yes, please specify:*

Deposit subtotal:

5th Child Information

Name*

First Last

Birthdate*

Gender*

Female

Male

Non-Binary

Other

Please specify:*

Which class waitlist(s) would you like your child added to?*

Has your child been registered at any of our South Vancouver Neighbourhood House Preschool and/or Family Programs since January 2021?*

Yes

No

Please provide program name:*

Does your child have any extra support needs, or other care needs we should be aware of to provide our best care?*

Yes

No

If yes, please specify:*

Deposit subtotal:

Additional Information

What is your desired start date?*

Do you have any other children who attend Salmonberry Child Care Centre?*

Yes

No

If yes, please specify child(ren)'s name(s):*

Deposit total

Consent

Please review and agree to the following statements:*

I confirm that the information I have provided is true and accurate.

I understand that my child(ren) is(are) not guaranteed a space in the childcare program.

I understand that I must pay a non-refundable fee of $25 per child to have my child(ren) added to the waitlist, and this fee does not represent a guarantee that my child(ren) will be enrolled in the program.

I understand the SVNH will contact me in the event that a space comes available for my child(ren) to enroll in the program.

Total

Credit Card

Card Details

Cardholder Name

Salmonberry Child Care Centre Waitlist Application Form

Please submit the form below to have your child(ren) added to the waitlist for Salmonberry Child Care Centre, which will open on October 01, 2021.

You can add your child to the waitlist for the Toddler class (18 to 36 months), the 3 to 5-year-old class, or both waitlists. You must pay a $25.00 fee to add your child to either or both waitlists.

Please click here to review waitlist requirements.

1st Child Information

2nd Child Information

3rd Child Information

4th Child Information

5th Child Information

Parent/Guardian Information

2nd Parent/Guardian Information

Additional Information

Consent

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