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Wawa Licenced Early Learning and Child Care ProgramsDaycare Application Form

 

If you wish to register for our daycare programs online, please complete and submit the form below.

Additional information and a print version of the forms are available in pdf format here.

Please note that submission of this form does not imply there is a space available for your child. You will be advised of this within four working days after the form is submitted.

Required Location For Care: Required Language of Care:
Child's Name: Sex: Female Male
Date of Birth (dd/mm/yyyy):
Home Telephone:  
Mother's Name: Father's Name:
Commencement Date Required (dd/mm/yyyy):  
Contact Email Address:

 

 

 


©2014 Superior Children's Centre

Superior Children's Centre
41 Algoma Street
Wawa, ON, CANADA
P0S 1K0
Phone: (705) 856-2178
Toll Free: (800) 482-4454
Fax: (705) 856-1874
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