Lillio formerly HiMama
Submit a request for childcare at Forest City Children's Centre

Fill out this application form to request a spot for your child at Forest City Children's Centre.


Child information
First name
Last name
Date of birth
Gender(optional)
Select gender

Child's primary address
Street address
Address line 2 (optional)
City
State / province
Select
ZIP / postal code

Parent/Guardian information

Primary applicant

First name
Last name
Select
Email
Retype email
Phone number (optional)

Emergency contacts

Allergy and medical notes

Enrollment information
Preferred start date
Preferred time of day(optional)
Preferred weekly schedule(optional)
Subsidy(optional)
Additional notes(optional)

Please provide details to assist with selection (ie. part-time/full-time care, preferred schedule, subsidy needs, siblings attending the center etc.)

Max 400 characters