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CONTACT FORM

You can contact us for inquires about space available using the Contact Form below.
Also by phone at 6045634226 or 6044544889 and by email at georgishome@shaw.ca
Any other inquire about the web page please contact me at: emmasplace@shaw.

CONTACT FORM: Use this contact form for the waiting list request or for inquires about space.

* Indicates required field

Parent's name *

First

Last

start day *

Child's age *

mark the days that you require care *

Every day Monday to Friday From Monday to Thursday Three days: Monday to Wednesday Two days one day only mornings drop off or ocassional

Child's name *

Email *

Questions *

specify if you want more information, ask your question here. If you wish to put your name in the waiting list. Specify the days that you need and the time that you wish to start. or

Submit

request an appointment

* Indicates required field

Parent's Name *

Email *

Child's name *

appointment date *

Comment *

Hour *

10:00 -10:30 a.m 10:30-11:00 a.m 4:30 -5:00 p.m 5:00-5:30 p.m

Submit

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