Current Page 1 Page 2 Preview The information collected on this form will be used for licensing under the Early Learning and Child Care Act and Regulations. The information is collected under the authority of the Early Learning and Child Care Board and managed in accordance with the Freedom of Information and Protection of Privacy Act. If you have any question about the collection, use or disclosure of your personal information, please contact the Early Learning and Child Care Board, 902-368-6513. Identification Category of licence for which you are applying - Select -Early Childhood CentrePreschool CentreSchool-Age Child Centre Business/Organization Name Contact First Name Contact Last Name Address 1 Address 2 City, Town, or Community Province Postal Code For example C1B 0X1 or 12345 Country Telephone 1 For example 902-555-5555 Telephone 2 For example 902-555-5555 Fax Number For example 902-555-5555 Email Address Centre Governance Type of Business - Select -Private OwnerPartnershipCorporation Private Owner First Name Last Name Address Registered with Corporate/Business Names Registry - Select -YesNo Partnership Organization Name Partner Information (List all partners) Partner Information (List all partners) First Name Last Name Address Item weight Add more items more items Legal Status Corporation Organization Name Officer Information Officer Information Name Address Item weight Add more items more items Legal Status