Application Form JN Licensed Child Care Applications for licensed child care are considered for all available spaces for all Jane Norman locations with the exception of Family Home. Family Home providers must be contacted directly for availablity of spaces. Child's Full Name* Child's Date of Birth* MM slash DD slash YYYY Applicant's Full Name(s)* Email(s)* Home/Cell #*Work/Cell #*Which school would this child be attending?*Which school in the geographical area would this child be attending when old enough? (approximate location is fine) Does this child have a sibling currently enrolled in one of our programs/at one of our locations?* Yes No What program/location is their sibling enrolled at? All applicants are automatically added to the waitlist upon submission. When a space becomes available, applicants will be contacted directly. Due to the overwhelming number of applications, we are unable to respond to individual inquires regarding waitlist status. Please note: if you are offered a space, we strongly encourage you to consider accepting it even if your preferred start date is later, as we cannot guarantee that another space will be available at your desired time. CAPTCHA Δ