Enter Waitlist! Kids3 Daycare Lacombe

Child Information

First Name *

Last Name *

Date of Birth *

Gender *

Male

Female

Parent Information

Mother Name

Father Name

Phone *

Email *

Enrollment Information

Please enter the required information below. If you are unsure about any details, feel free to leave those fields blank. Desired Start Time and Desired End Time refer to the hours you would like your child to be in the daycare.

Desired Start Date *

Desired Start Time

Desired End Time

Desired Hours *

Full-Time (100+ hours per month)

Part-Time (50+ hours per month)

Drop-In (Less than 50 hours per month)

Not Decided

Additional Information

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Waitlist Form

Kids3 Daycare Lacombe

Child Information

Parent Information

Enrollment Information

Additional Information