Get On The List.

Completing this application form is the first step to joining our waitlist and being the first to hear the latest updates on our centre, coming to North Vancouver soon.

    Complete the inquiry form below to find out more about our child care options. We will then contact you to discuss
    availability of care.

    * This field is optional.

    Parent/Guardian Name
    Email
    Phone
    Do you want to add your child to our waitlist? YesNo
    Name of Child One*
    Birthdate of Child One (YYYY-MM-DD)*
    Name of Child Two*
    Birthdate of Child Two (YYYY-MM-DD)*
    Name of Child Three*
    Birthdate of Child Three (YYYY-MM-DD)*

    Note: if you have more than three children that require care, please indicate in the comments below.

    Type of care required? Full-timePart-time (2-3 days a week)
    If you require part-time care, which days?
    MondayTuesdayWednesdayThursdayFridaySaturdaySunday
    What is your ideal start date? (YYYY-MM-DD)
    What are your ideal hours for child care?
    From
    to
    Is your start date flexible? YesNo

    Additional Details
    Please provide additional information or any questions you have for us regarding your child care needs.

    Your message