VCSC - Application Form

FOR WHAT YEAR IS THIS APPLICATION BEING MADE
Child	Last Name
	First Name
	Date of Birth	Day Month Year
	Gender	Boy Girl

Parents		Names
		Address
		City			Province		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.

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