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Childcare Provider Registration Form
Subscription Details
You are registering for our "Best Value Package" for $19.95/year... good choice!
Childcare Information
Childcare Name:
Childcare Description:
Website Address:
Age Group:
Birth
6 months
12 months
18 months
24 months
30 months
3 years
4 years
5 years
School age
To:
Birth
6 months
12 months
18 months
24 months
30 months
3 years
4 years
5 years
School age
Total Spaces:
Available Spaces:
Childcare Contact Details
Childcare Email Address:
Phone Number:
Extension:
Childcare Address
Street Address or Nearest Cross Streets:
Suite (if applicable):
City:
Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
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Postal Code:
Login Information
First Name:
Last Name:
Email:
Password:
Password Confirm:
Hours of Operation
If your daycare is not open during one of the says, select zero(0) for the open and close hour for that day of the week.
Open
Close
Monday
0
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5
6
7
8
9
10
11
12
:
00
15
30
45
AM
PM
0
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2
3
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5
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7
8
9
10
11
12
:
00
15
30
45
AM
PM
Tuesday
0
1
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5
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7
8
9
10
11
12
:
00
15
30
45
AM
PM
0
1
2
3
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5
6
7
8
9
10
11
12
:
00
15
30
45
AM
PM
Wednesday
0
1
2
3
4
5
6
7
8
9
10
11
12
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00
15
30
45
AM
PM
0
1
2
3
4
5
6
7
8
9
10
11
12
:
00
15
30
45
AM
PM
Thursday
0
1
2
3
4
5
6
7
8
9
10
11
12
:
00
15
30
45
AM
PM
0
1
2
3
4
5
6
7
8
9
10
11
12
:
00
15
30
45
AM
PM
Friday
0
1
2
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4
5
6
7
8
9
10
11
12
:
00
15
30
45
AM
PM
0
1
2
3
4
5
6
7
8
9
10
11
12
:
00
15
30
45
AM
PM
Saturday
0
1
2
3
4
5
6
7
8
9
10
11
12
:
00
15
30
45
AM
PM
0
1
2
3
4
5
6
7
8
9
10
11
12
:
00
15
30
45
AM
PM
Sunday
0
1
2
3
4
5
6
7
8
9
10
11
12
:
00
15
30
45
AM
PM
0
1
2
3
4
5
6
7
8
9
10
11
12
:
00
15
30
45
AM
PM
Image Uploads
Click the "Browse" button to select your saved image.
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Image Caption:
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