Enroll - Bloom and Play Daycare Centre

Waitlist & Inquiry Form

Parent/Guardian Name(Required)

First Last

Email(Required)

Cell Phone

Child’s Name(Required)

First Last

Child’s Age*(Required)

Please enter a number from 0 to 6.

Gender

Preferred start date*(Required)

Which program(s) interest you? (select all that apply)*

Infant/Toddler care | 6m – 36m

Multi-age care | 1y – 5y

Kinder-prep care | 3y – 5y

How did you hear about us?

Google Search

Word of Mouth / Referral:

Social Media

Driving / Walking By

Other

Questions or special requests

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