Registration & Enrolment Package

Thank you for considering Umbrella to provide care for your child.

Please be advised that submitting a Registration does not guarantee a space for your child. You will be contacted after your Registration is received.

There are two ways to apply.

Download the PDF from the link below and send to the centre that you’re applying to (you can find mailing and contact info for our centres here) OR use the online form below.

Step 1 of 25
Umbrella Umbrella Registration Package


Please be advised that submitting a Registration does not guarantee a space for your child. You will be contacted after your Registration is received.

When navigating the form, use the "Previous" and "Next" buttons at the bottom of the form rather than the 'back' button in your internet browser.

Application Enrolment Form - page 1 of 2

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Child's Date of Birth
Phone

Emergency Contact Person

(Other Than Parent/Guardian)
Phone Number
Cell Phone
Workplace Phone Number

Name of Persons to Whom Child May be Released