Registration Part 1 - Sage Hill Centre

Registration Part 1 of 3

Registration for Active Start Childcare - Sage Hill Centre

Please use the form below to register your child for our child care programs.

Parent's First Name

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Parent's Last Name

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Phone Number

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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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Preferred Start Date

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What is the age of your child on the preferred start date?

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How many children will you be registering?*

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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

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Last Name of Child #2

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Birthday 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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Birthday 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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Birthday 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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Birthday 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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Birthday of Child #6

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First Name of Child #7

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Last Name of Child #7

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Birthday of Child #7

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First Name of Child #8

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Last Name of Child #8

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Birthday of Child #8

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