ࡱ> @B?9 _bjbj 8dd_00uuuuu(******$cNuNuuc uu((pFy0@u,NN$0 ;:     FOR OFFICE USE ONLY Start Date: ______________________ Withdrawal Date:_________________APPLICATION FOR DAY CARE Date of Application: Date of Day Care Needed: ___________________Days Needed (Full/part time)__________ Name of Child: Male/Female _________ Birth Date: _________________________ Name of Parent(s)/Guardians: FIRST NAME LAST NAME Relationship to Child CELL PHONE# Work Address: _______________________________________ Work Phone # _________________ EMAIL Address: _____________________________________ _____________________________________________________________________________________ FIRST NAME LAST NAME Relationship to Child CELL PHONE# Work Address: _______________________________________ Work Phone # _________________ EMAIL Address: ___________________________________ Home Address: ______________Postal Code: ___________ Home Phone Number: Emergency Person: ________________ Telephone Number: ____________________ Please specify occupation of those in the home. 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Century GothicC.,{ @Calibri Light7.@CalibriA$BCambria Math"hsFre'0fl l !20\\3HP $PrF<2!xx3n]  dthomson)Debbie Thomson, Childcare Centre DirectorOh+'0 (4 T ` l x  dthomsonNormal,Debbie Thomson, Childcare Centre Director14Microsoft Office Word@ph @@X޺.@l՜.+,0 hp  McMaster University \  Title !"#$%&'()*+,-.012345689:;<=>ARoot Entry FpCData 7"1Table WordDocument8SummaryInformation(/DocumentSummaryInformation87CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q