Day Care Application | Children's Museum (Winnipeg, MB)

Prior to completing this application form, please note:

This application is to be completed by Day Care Directors only.
Application deadlines are March 31, June 30, September 30, and December 31.
Due to the number of requests received at certain times of the year, urgent requests will not be granted priority consideration – so please ensure that your application reaches us with adequate time for consideration prior to your anticipated visit date.

Name of Day Care*
Name of Day Care Director*
First Last
Day Care Director's Email*
Address*
Street Address Address Line 2 City Province Postal Code
Phone Number*
Fax Number*
Is this day care not-for-profit?*
- Yes
- No
Is this day care governed by a volunteer Board of Directors?*
- Yes
- No
Total number of children at day care centre*
Number of non-school age children (infant–nursery) at day care centre*
Number of children at day care receiving Family Services & Consumer Affairs Child Care Subsidy*
Average subsidy percentage of non-school age children at day care*
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 feel your day care would benefit from support through the Children's Museum Free2Play Access Program*
Is there any other information you would like to bring to our attention for consideration with this application?
Declaration: As the Director of the above listed day care, 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 day care a place in the Free2Play Access Program. I understand that assistance from the Children’s Museum is discretionary.*
- Yes
- No
Would you like to receive our monthly eNews updates?*
- Yes
- No