Daycare Application

All applications are reviewed quarterly: March 1, June 1, September 1, and December 1

Name of Daycare*
Name of Daycare Director*
FirstLast
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone #*
Fax*
Is this daycare not-for-profit?*
- Yes
- No
Is this daycare governed by a volunteer Board of Directors?*
- Yes
- No
Total number of children at daycare centre*
Number of non-school age children (infant–nursery) at daycare centre*
Number of children at daycare receiving Family Services & Consumer Affairs Child Care Subsidy*
Average subsidy percentage of non-school age children at daycare*
EXAMPLE: To find the average of 30%, 50%, and 70%. Step 1. Find the sum of the percentages: 30% + 50% + 70% = 150% Step 2. Calculate the total number of children: there are 3 children Step 3. Find the average percent: 150 ÷ 3 = 50%
Please explain why you think your daycare would benefit from the Children's Museum's Free2Play Access Program*
Is there any other information you would like to bring to our attention for consideration with this application?
Declaration: I declare that the information provided by me on this application form is accurate & complete, and that any false or misleading statements may be sufficient ground for cancelling any arrangement made. I also understand that this application form does not guarantee my daycare a place on the Free2Play Access Program. I understand that assistance from the Children’s Museum is discretionary.*
- Yes
- No
Applicant's Name*
FirstLast
Applicant's Email*