Application Form

Welcome to Tomorrows Topkids!

Please complete the Application Form and return to us at the address noted on page 2.
A one-time non-refundable application fee of $40 is required for all new participants.
Submission of your Application Form does not automatically guarantee your child a
space into a Tomorrows Topkids program.
Space may be full or limited and Tomorrows Topkids reserves the right to make a final
decision in the best interests of the center.
Priority is given to the siblings of current participants.

Childs Name: ____________________________________________________________

Date of Birth: (MM) ____ (DAY) ____ (YEAR) ______ School, Preschool or daycare: ___________

We need care starting: (MONTH) __________________ (YEAR) _______________________

Do you have another child attending one of our programs? ____________________________

If yes, who: __________________________ which center: ____________________________

Parents Name

Mailing Address
including city and postal code

Daytime Contact
Phone Number

Cell Number

Email Address
Please print clearly
Childs Name: ____________________________________________________________

Center of Choice: (please circle one)

Richmond: Errington Ferris Grauer McKinney Spulukwuks Westwind

Vancouver: MacCorkindale

Type of Care Required: (please circle one)

Please note: Full time registration takes precedence over permanent part time, part time or
drop in registration.

AM and PM care PM only AM only Part Time Care Drop in Care

For part time and drop in care please explain: __________________________________

____________________________________________________________________________

Please mail completed form with $40 non-refundable application fee to:
Tomorrows Topkids Child Care Society
Metrotown RPO
PO BOX 1228
Burnaby, BC V5H 4J8

Make cheques payable to Tomorrows Topkids

Or scan and email to: lcarlson@ttk.org with your credit card payment
Or fax to: 604-437-4746 with your credit card payment

If paying by credit card please complete information below.

Credit Card Information: Visa OR MasterCard

Name as it appears on card: __________________________________________________________

Please PRINT clearly
Card Number:

Expiry Date:

mm yy

By evidence of my signature, I do hereby authorize Tomorrows Topkids Child Care Society to charge
my credit card the $40 application fee.

Signature: ______________________________________________ Date: ____________________