Child Care Application - Deadline May 19, 2017. Please complete one form for each child

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Remember to include payment of $250.00 for each child 3 to 13 years of age to cover room and board. PLEASE ENSURE YOU HAVE REQUESTED AND PAID FOR SINGLE ACCOMMODATION Note: The Local Union is responsible for the costs of providing child care.

First and last name of participant. *

Local No *

Home Address *

City *

Postal Code *

Primary Phone Number: *

Secondary Phone Number:

Home Email *

Child's first and last name *

Child's age (at time of Kamloops School) *

Special requirements *

Please respond "N/A" if there are no special requirements

Having trouble submitting this form?

First, please scroll up to answer any required question(s) that were missed. If that doesn't work, please contact Sophia Yap at syap@cupe.ca or 604-291-1940.

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