This form is used to send your Child Care needs to our office and also for pre-register your child online! Please fill out the form below if you are interested in registering for child care and it will be submitted to The Open Door office. ***Please note: Filling out this information form does not guarantee your child a spot. The office will contact you should a spot become available.***

If you would rather print out a pre-registration form and drop it off in person, please click the PDF link below:

Pre-Registration Form


Child's Name:

 Male   Female

Date of Birth:

Date Starting:

School Attending:

Grade:


Check the Days Needed:

 Monday      

 Tuesday 

 Wednesday

 Thursday  

 Friday


Daycare (3 to 5 years old)

 Full-Time

 Part-Time

 Summer Care


Kindergarten / Grade 1

 Full-Time

 Part-Time

 Summer Care


Grade 2 - Grade 6

 Full-Time

 Part-Time

 Summer Care


Preschool

 M/W/F (4 years old)

 T/Th Morning (3 years old)

 T/Th Afternoon (4 years old)

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Contact Name:

Home Phone:

Cell Phone:

Home Address:

Postal Code:

Email Address:

Questions/Comments: