Garderie K.I.D.S. Île des Soeurs

9170-9865 QUÉBEC INC.
   

REQUEST FOR DAYCARE SPACE
PLEASE COMPLETE ONLY ONE REQUEST FOR EACH FAMILY
BELL EMPLOYEE
FAMILY NAME

FIRST NAME
PLACE OF WORK
BELL
OTHER
EMPLOYEE NUMBER
HOME TELEPHONE NUMBER
WORK TELEPHONE NUMBER
CELL PHONE NUMBER
E-MAIL
BEST WAY TO CONTACT
1ST CHILD
FAMILY NAME
FIRST NAME
DATE OF BIRTH DAY MONTH YEAR
2ND CHILD
FAMILY NAME
FIRST NAME
DATE OF BIRTH DAY MONTH YEAR
3RD CHILD
FAMILY NAME
FIRST NAME
DATE OF BIRTH DAY MONTH YEAR