Please select your contracted rate category<\/h5>\n
\n

\n

FAMILY DAY HOME:<\/div>\n

\n\nSelect<\/option>\n100+ Hrs<\/option>\n50-99 Hrs<\/option>\nHourly<\/option>\nNone<\/option>\n<\/select>\n<\/div>\n

CAMROSE CHILDREN'S CENTRE:<\/div>\n

\n

\nSelect<\/option>\n100+ Hrs<\/option>\n50-99 Hrs<\/option>\nHourly<\/option>\nNone<\/option>\n<\/select>\n<\/div>\n<\/div>\n
\n

\n

IMMUNIZATIONS ARE UP TO DATE?<\/div>\n

\n\nSelect<\/option>\nYes<\/option>\nNo<\/option>\n<\/select>\n<\/div>\n

INTIALS:<\/div>\n

\n

\n<\/div>\n<\/div>\n
\n

\n

SIGNATURE (TYPE YOUR NAME):<\/div>\n

\n\n<\/div>\n

DATE:<\/div>\n

\n\n<\/div>\n<\/div>\n
\n

\n

\n\n\n\n\n\n<\/div>\n<\/div>\n

---

\n<\/form>\n\n\n

IF YOUR CONTACT INFORMATION HAS CHANGED, PLEASE COMPLETE:<\/i><\/strong><\/h6><\/td><\/tr>\n<\/table>\n \n \n HOME ADDRESS:<\/div>\n \n\n<\/div>\n CITY:<\/div>\n \n\n<\/div>\n<\/div>\n \n \n PROVINCE:<\/div>\n \n\nSelect<\/option>\nAlberta (AB)<\/option>\nBritish Columbia (BC)<\/option>\nManitoba (MB)<\/option>\nNew Brunswick (NB)<\/option>\nNewfoundland (NL)<\/option>\nNova Scotia (NS)<\/option>\nNorthwest Territories (NT)<\/option>\nNunavut (NU)<\/option>\nOntario (ON)<\/option>\nPrince Edward Island (PE)<\/option>\nQuebec (QC)<\/option>\nSaskatchewan (SK)<\/option>\nYukon (YT)<\/option>\n<\/select>\n<\/div>\n POSTAL CODE:<\/div>\n \n \n<\/div>\n<\/div>\n \n \n CELL:<\/div>\n \n\n\n\n<\/div>\n HOME:<\/div>\n \n\n\n\n<\/div>\n WORK:<\/div>\n \n\n\n\n<\/div>\n<\/div>\n \n \n EMPLOYER:<\/div>\n \n\n<\/div>\n<\/div>\n \n \n \n\n\n\n<\/div>\n<\/div>\n<\/form>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/page-blank.php","meta":{"footnotes":""},"class_list":["post-40","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ccc.intriko.com\/index.php\/wp-json\/wp\/v2\/pages\/40","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ccc.intriko.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ccc.intriko.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ccc.intriko.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ccc.intriko.com\/index.php\/wp-json\/wp\/v2\/comments?post=40"}],"version-history":[{"count":1,"href":"https:\/\/ccc.intriko.com\/index.php\/wp-json\/wp\/v2\/pages\/40\/revisions"}],"predecessor-version":[{"id":64,"href":"https:\/\/ccc.intriko.com\/index.php\/wp-json\/wp\/v2\/pages\/40\/revisions\/64"}],"wp:attachment":[{"href":"https:\/\/ccc.intriko.com\/index.php\/wp-json\/wp\/v2\/media?parent=40"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}