If you would like to enrol you child(ren) at TCCC, please be advised that you will very likely have to wait for space to become free. You can join the waiting list by filling out the information requested below.

When you are done just click the "submit" button below and the results will be e-mailed to us. If you prefer, you can print out the form and mail it to us. Our mailing address is: Trent Child Care Inc., 236 Parkhill Road E., Peterborough, Ontario K9H 1R2. You can of course also contact us by phone at 705.775.2811.

Thanks for your interest in TCCC.

FAMILY STATUS WITH TCCC




PREFERRED SITE LOCATION




CHILDREN YOU WISH TO ENROLL
Name: Birth date:
Name: Birth date:

Full Time Part Time (full days only)
Part Time days needed: Monday Tuesday Wednesday Thursday Friday

Morning Monday Tuesday Wednesday Thursday Friday
Afternoon Monday Tuesday Wednesday Thursday Friday

SUBSIDY INFORMATION
Do you require a subsidy? Yes (call 748.8830 x3616) No
CONTACT INFORMATION
Mother's Name: Tel. (H): Tel. (B):
Father's Name: Tel. (H): Tel. (B):
Address: Postal Code:
COMMENTS
DATE OF APPLICATION: