Name

Email

Phone

Preferred method of contact Preferred method of contact Phone Email

Child's Name

Age of child/children (as of today)

Anticipated start date

Program/Age Group Program/Age GroupInfants (18 mo or under)Toddlers (1 to 2½ years old)Preschool (2½ to 4 years old)Kindergarten (5 years old)School-Age (6 to 12 years old)

Location of Interest Location of InterestBriarcrest (Etobicoke, ON)Buttonwood (Etobicoke, ON)Cooksville (Mississauga, ON)Duffin's Bay (Ajax, ON)Greensborough (Markham, ON)Kennedy (Scarborough, ON)Maple Hill (Barrie, ON)Mapleview (Barrie, ON)Newmarket (Newmarket, ON)Thickson (Whitby, ON)Vaughan South (Woodbridge, ON)Anjou (Anjou, QC)Beaumont (Montréal, QC)Drummondville (Drummondville, QC)Faillon (Montréal, QC)Labelle (Laval, QC)Mirabel (Mirabel, QC)(more than one, specify in additional details)

Additional details

Day of the week Day of the week Monday Tuesday Wednesday Thursday Friday

Preferred method (COVID-19 Update - For the safety of our families, all facility tours will be conducted after-hours.) Preferred method (COVID-19 Update - For the safety of our families, all facility tours will be conducted after-hours.) After-hours (5-7pm) Guided Virtual Tour

Please select Please select Friend/Family member Parent of a Learning Jungle student Online search Social Media (Instagram, Facebook) Drove by the facility Media/Advertising Local Event Other

Select if you wish to be added to our email list (Optional) Select if you wish to be added to our email list (Optional) Yes, add me to your email list to hear about Learning Jungle news, promotions and special events.