Garderie - Les petits anges de Wesley

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Application form

Child information

First Name

Last Name

Date of Birth

Gender

Language(s) spoken at home

Medicare #

Expiration Date

Date of Admission

Parent 1 Information

First Name

Last Name

Address

Telephone #

Cellular #

Office #
Ext.#

Occupation

Are you willing to volunteer? yes no

Parent 2 Information

First Name

Last Name

Address

Telephone #

Cellular #

Office #
Ext.#

Occupation

Are you willing to volunteer? yes no

Parent Information

Marital Status

Custodial Parent

Previous Daycare Experience yes no

Name of Center

Telephone #

Comments

A Special Place

In through our arched red door is a special place. Stained glass windows allow the sunlight to spill into the class rooms. High ceilings and spacious play areas give our children the freedom to explore. Arches, columns, nooks and crannies offer intriguing challenges that inspire imaginations and creativity. Our hand crafted out door play area is nestled among majestic trees, lush green grass and lovingly tended gardens. Everywhere you look our neighborhood is bustling and alive with the activities of family life.