Please fill out the online form or download one. Adobe reader 7 or later required.

A non-refundable $50.00 deposit is required to register your child or add a name to the waiting list.
Deposit will be applied to first months fee.

To be eligible for service your child must meet the age requirments and be enrolled in school full days.
If your child is under the age of 6 you may add them to the waiting list.
Please be sure to state the date you wish your child to begin.

Note: Immediate payment not required. You will be contacted with payment options or you may mail or drop payment to:

Cheeky Monkeys
148 Prescott St. Kemptville ON
K0G 1J0

Form will not be processed until payment has been received.

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What type of form is this? Registration Waiting List Preferred Start date: Choose month January February March April May June July August September October November December Choose Year 2010 2011 2012 2013 2014 Summer camp only
Contact Info
Child's Name: (last)	*	Child's Name: (first)	*
Age:	Choose age 1-4 5 6 7 8 9 10 11 12
Mother's Name:		Father's Name:
Email:	* Email required.Invalid format.
Address:
Street:		City:
Postal Code:		Phone:
School Currently attending: Choose School Kemptville Public School South Branch Oxford on Rideau Holy Cross Other *Oxford on Rideau families! Note that while children are still eligible for enrolment; Valley bus lines does not provide transportation to and from our center. Comments/Questions?