Wait list application Child care entry date wanted *How much care do you require? *full time3 days/week2 days/weekFamily informationName of parent/guardian *Choose one: *studentTRU faculty/staffTRU alumnicommunityStreet address *Apartment, suite, etcCity *Province *Postal code *Phone number *Alternate phone numberEmail address *Alternate email addressEnter second parent/guardian info?yesnoName of parent/guardian #2Choose one:studentTRU faculty/staffTRU alumnicommunityChild's information1. Name *Male or femalemalefemaleDate of birth *2. NameMale or femalemalefemaleDate of birthDo you have another child enrolled in this daycare?yesnoRequired registration information Confirmation of a child care space will be made by the child care administration office. Upon your acceptance, a non-refundable pre-registration fee of $25 per child is payable. Upon your acceptance a refundable deposit of $150 will be required (applied to your last month’s fees upon submission of 45 days’ notice). If you have indicated that you are a student proof of full time enrolment will be required prior to your child’s entry. If not a TRU Student a $25 non-student levy/month per family will be charged. Priority for child care spaces is given to TRU students, then TRU faculty/staff and then community members. Please indicate you have read and understood the above agreement. *I have read and understood the above agreement.Submit applicationPlease do not fill in this field.