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The first step is to indicate your interest in Prospective Place Childcare is by completing the form. A member of our team will be in touch as soon as possible to discuss availability and the registration process.

Email
prospectiveplacechildcare@gmail.com

Phone
((905)961-2273

Parent Information

First Name

Last Name

Phone

(###)

###

####

Email

Child's Name

First Name

Last Name

Child's Date of Birth

MM

DD

YYYY

Child's Allergies | Food Restrictions | Medical Conditions

Preferred Start Date

MM

DD

YYYY

Program of Interest

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Location

Hours

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