Child care Registration Form
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)
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)
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