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*First Name: *Child’s Name:
*Last Name: *Child's Birthday:
*Home Phone: *Desired Start Date:
Cell Phone: *Program:
*Email: *Enrollment: Full-Time    Part-Time
*Part-Time Preferences: Mon   Tue   Wed   Thu   Fri
Please select at least one location to be added to their waiting list.

Acton - Mill Street Acton
Barrie - Mapleview Dr. W
Brampton - Avondale
Brampton - Mill Street
Brampton - Queen St.
Brampton - Sandalwood
Burlington - South Service Rd.
Cambridge - Maple Grove
Cambridge - Sheldon Drive
Georgetown - LEAP
Georgetown - Main St.
Kitchener - Victoria St.
Milton - Derry
Milton - Escarpment Way
Milton - Maple
Mississauga - Dixie
Mississauga - Matheson
Mississauga - Torquay Mews
Mississauga - Traders
Mississauga - Wolfedale
Newmarket - Yonge St.
Oakville - Winston Churchill
Orangeville - Third St.
Vaughan - Rutherford
Vaughan - Trowers
Waterdown - Hamilton St
Waterdown - LEAP
*Are you receiving or have you applied for subsidy? Yes  No

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*Please note that availabilities are updated once a week. Please call and confirm the availability with the centre.