Application Form

We would love to welcome your child at Dartmouth Day Care. To get started please complete our application form below.  If you have any questions please call us on 902-434-2865 for more information

Parent / Guardian 1

Parent / Guardian 2

Emergency Contact

Other Information

Please read carefully and accept the following terms:


My child can be released from the day care to the following people and i understand that i am to inform the staff if someone other than the people listed below will be picking my child up: (please give phone numbers and relationship to the child)

I understand that I have to pay any or all applicable fees per month and that failure to pay the account may result in referral of the delinquent account to a collection agency, action against me in small claims court or refusal to provide continued service.

I agree that the Executive Director from Dartmouth Day Care Centre may contact other centres at which my child has been enrolled to determine if my account was in good standing at the time of my withdrawal.

I understand that if I have a delinquent account at Dartmouth Day Care Centre this information may be passed along to another centre to which may not accept my child until I satisfy this obligation.

I understand that if I have difficulty meeting my financial obligations I must contact the Executive Director and discuss ways in which these obligations may be met.