Child care Registration Form

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2020-2021 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)

KG aftercare

Child Legal Name *

Date of Birth *

YYYY

Telephone number *

Gender *

Female

Male

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 ? *

Yes

Citizenship- Is the student Canadian Citizen *

Yes

Citizenship, if not Canadian

Permanent resident/Landed Immigrant

Child of Canadian Citizen

Study Permit

Other:

Clear selection

Name of official citizenship document ( copy to be provided to the office) *

Clear form

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