Request edit access
Child care Registration Form
2019-2020 School Year
Please choose the Program you are registering for?
Daycare ( ages 1&2)
Preschool ( ages 3& 4)
Out of School Care ( 3:30pm-6:00)
Child Legal Name
Date of Birth
Mailing address ( street, city, province, postal code)
last school attended, location ( if applicable)
Medical Information ( allergies, medical conditions, etc) if school staff will be required to administer medication, please request the appropriate form from the school office)
Is your child 's Immunization up to date ?
Citizenship- Is the student Canadian Citizen
Citizenship, if not Canadian
Permanent resident/Landed Immigrant
Child of Canadian Citizen
Name of official citizenship document ( copy to be provided to the office)
Page 1 of 2
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service