Application Form

508 Brock Street South, Whitby, ON L1N 4K7

905-666-3960 |

Children's Application
    Program of Interest Age Range:

    Child Information

    Home Address:

    Additional Information:

    Are there any health considerations that would prohibit full participation in school activities?
    Are you aware of any special needs/learning differences that would require special programming for your child?
    Is your child vocal?
    What language(s) are spoken at home?
    Child Lives With: