Waiting List Application Child's Name * First Name Last Name Date of Birth * MM DD YYYY Child's Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parent/Guardian Name * First Name Last Name Email * Parent/Guardian Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parent/Guardian Phone * (###) ### #### Parent/Guardian Work Phone (###) ### #### Requested Start Date for Child Care * MM DD YYYY Age Group Requested * Preschool - 2.5 to 3 yrs Full Day Kindergarten 4 to 6 yrs School Age 6 to 12 yrs Name of Applicant * First Name Last Name * I understand that the completion of this form puts me on the waiting list for child care and that I am not guaranteed a space on the date requested. Privacy Consent * Yes, I agree that the Centre may collect, use and disclose my and, if applicable, the above-noted child(ren)’s personal information in accordance with its Privacy Policy which I have received and reviewed. I understand that the Centre may update its Privacy Policy at any time, and the updates will apply to me, and, if applicable, the above-noted children. I understand that the Centre may disclose my personal information to its service providers, including its third-party bookkeeper, auditor and legal counsel. The Centre may also disclose my and, if applicable, the above-noted children’s, personal information to the College of Early Childhood Educators, and as may be required by law. Privacy Policy may be viewed under the For Parents/Guardians tab. Agree Electronic Communications Consent * Yes, I agree that the Centre may communicate with me by e-mail, text, direct message and other electronic communications relating to providing childcare services and administering and operating the Centre. Examples of these electronic communications include e-mails related to events and special days at the Centre, fees, updates on Centre policies, fundraising, and the Centre’s quarterly newsletter. For parents and legal guardians, electronic communications may include e-mails related to their child(ren) and their account. For Centre staff and volunteers, electronic communications may include e-mails related to employment and staff updates. . You may withdraw your consent at any time by contacting Balmy Beach Community Daycare Centre at 14 Pine Ave, Toronto ON M4E 1L6, or 416-698-5668 or balmybeachcomday@bellnet.ca. Agree I understand that the completion of this form puts me on the waiting list for child care and that I am not guaranteed a space on the date requested.
