Child Care Intake Form

If you want to apply for child care services at one of our facilities, please submit the form below and someone will be in touch with you soon.

Location
Program Requested
Requested Days
Requested Days
(Before & After School Care Only)
Has your child received, or is receiving, support to aid his/her inclusion in a childcare program?

If yes, please arrange appointment with manager (after submitting this form).

Do you have any children or family members currently enrolled in Paradise?
Contact Us

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All Rights Reserved.
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Parksville
330 Craig Street,
Parksville BC

Qualicum Beach
744 Primrose Street,
Qualicum Beach, BC

Courtenay
2785 Mansfield Dr Unit A,
Courtenay, BC

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