Waitlist Form (2022/2023) Parent's/Guardian's Name: Child's Name: Child's Date of birth: Address: Your email: Cell Phone: Toddler or Casa? Toddler Program (18 months – 2.5 yrs)Casa Program (2.5 – 6 yrs) Preferred Start Date: Full Day or Half Day? Full-DayHalf-Day Does your child have an ISP (Individual Support Plan) in place? YesNo Did you fill out the HSN One List application? YesNo How did you hear about our school? Preferred location (choose one): 13 Wilholme Dr., St. Catharines208 Taylor St., Thorold Referred by: (If someone referred you to us, please let us know who it was here) Comments:
