Information About Your Child Care Centre

Name of Centre / School

Full Name of Owner and Childcare Director

Street Address *

City

Province

Postal code

Phone Number *

Centre or School Website

Main Intersection *

Transit Route (If Applicable)

Location of Centre (i.e., church, public school, standalone) *

Billing Address *

Hours of Operation *

Centre Capacity

Infant Capacity

Toddler Capacity

Preschool Capacity

Kindergarten Capacity

School Age Capacity

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Is your organization unionized?

Is your organization not-for-profit?

Primary Contact Full Name

Email of Primary Contact

Primary Mobile Phone Number

Date of Signing

The undersigned acknowledges and agrees that this registration form and terms and conditions set out on the reverse, which the undersigned acknowledges having read, constitute a legally binding agreement between ECE Link Up HR Services Inc. and the Client.

I have authority to sign on behalf of the client