FarmKids Daycare

Join Our Waitlist

📝 Please submit a separate form for each child

Child Information

First Name *

Last Name *

Date of Birth *

Gender *

Age Category *

Does your child require extra support?

Parent/Guardian Information

First Name *

Last Name *

Relationship to Child *

Email *

Confirm Email *

Phone Number *

Address *

Enrollment Information

Preferred Start Date (Optional)

Additional Notes (subsidy needs, schedule, etc.)

Declaration

I/we declare that all information given in this application is correct, and I/we understand that the personal information contained on this form is used for the purposes of determining eligibility and suitability for childcare services, including communication about childcare services. I/we declare that I have read and understood the waitlist policy of the FarmKids Daycare.

I agree to the above terms and consent to the treatment of personal information *