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

Please check what applies:
Subsidy requiredSubsidy not required – full fee payable monthly

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: