Application Form
Please note: Applications for the 2012-2013 school year can now be made using the form below. We do have a few openings for 4 year olds for the 2011 - 2012 school year.

FOR WHAT YEAR IS THIS APPLICATION BEING MADE		2011-2012 2012-2013
Child	Last Name
	First Name
	Date of Birth	Day   Month   Year
	Gender	Boy   Girl
Parents		Names
		Address
		City			Province BC AB SK MB ON QC NB NS PE NF YT NT		Postal Code
		Home Phone		Cell		Work Phone
		Fax			Email  (required)
PREFERRED PROGRAM (Select One)
	3 & 4 YEAR OLDS - MONDAY TO THURSDAY				Tuition = $3900 per year paid in 10 equal payments of $390 Yearly snack fee = $100
a.		9:15 - 11:45 A.M.			Paula Tisdale and Emme Bryant
b.		1:00 - 3:30 P.M.			Paula Tisdale and Emme Bryant
	ANCHOR - 2 YEAR OLDS FRIDAY MORNING				Tuition = $1650 per year paid in 10 equal payments of $165 Yearly snack fee = $40
c. d.		9:00 - 10:45 A.M.   11:30 A.M. - 1:15 P.M.			Christianne Hayward, Catherine Dinim, Aisling Zweigle
APPLICANT'S STATUS			a. The child is currently enrolled b. The child has a sibling currently enrolled or who is an alumni of VCSC c. The child is a new applicant
Vancouver Child Study Centre respects your privacy. By completing and submitting this form, you agree the Vancouver Child Study Centre may use and disclose your personal information in accordance with its privacy policy. You can view the policy here.

SPAM Checker - please type "student" (without the quotes) in the area below. Note: This is to check that you are a real person and not another computer auto filling this form.

  Security ID

Before your application can be finalized a $25.00 Non-refundable Application Fee for new students must be sent to -

Vancouver Child Study Centre
3525 West 24th Ave.
Vancouver, BC  V6S 1L5

Thank You

 Cancel

revised 2011-08-20