RegistrationPart 1 of 3

Registration for Active Start Childcare Centre 

Please use the form below to register your child for our child care programs. Please register ONE child at a time, at the end of each registration, you can click the button to register another child and continue your registration process.

Parent's First Name
Please complete the required field

Parent's Last Name
Please complete the required field

Phone Number
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Email
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Street Number
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Street Name
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City
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Province
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Postal
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What is your current childcare situation
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How did you hear about our daycare?
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Contest Promo Code (if applicable)
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Preferred Start Date
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What is the age of your child on the preferred start date?
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First Name of Child #1
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Last Name of Child #1
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Birthday of Child #1
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First Name of Child #2
Please complete the required field

Last Name of Child #2
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First Name of Child #3
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Last Name of Child #3
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First Name of Child #4
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Last Name of Child #4
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First Name of Child #5
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Last Name of Child #5
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First Name of Child #6
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Last Name of Child #6
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First Name of Child #7
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Last Name of Child #7
Please complete the required field

First Name of Child #8
Please complete the required field

Last Name of Child #8
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Birthday of Child #2
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Birthday of Child #3
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Birthday of Child #4
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Birthday of Child #5
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Birthday of Child #6
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Birthday of Child #7
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Birthday of Child #8
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