JUNCTION Lil' Learners Preschool Program
Summer preschool 2017 - July & August
SUMMER ENROLMENT 2017 - Junction location
Information and enrollment form for the Lil Learners preschool program.

Please fill out this form fully and submit your enrollment with the $100+hst deposit by either paying it online OR requesting a credit card authorization form (end of form).

**Note your enrollment is not guaranteed nor confirmed until the deposit is paid in full.

For questions please email the preschool team at:

junction.preschool@oaksnacorns.com

First Name (Child)
Your answer
Last Name (Child)
Your answer
Preferred Email Address (primary adult)
Your answer
Child's date of birth
Your child MUST be 2.5 years by July 1, 2017 in order to join!
MM
/
DD
/
YYYY
Child's home address
Ex. 3217 Dundas St W, Toronto, ON
Your answer
Preferred email (where receipts will be sent)
Your answer
Parent # 1 Full Name
First, last
Your answer
Parent # 1: Preferred phone number
Your answer
Parent # 2 Full Name
First, last
Your answer
Parent # 2: Preferred phone number
Your answer
Alternate contact (Emergency contact)
Full name, relationship to child, and phone number
Your answer
Authorized to pick up child from preschool
Full name, relationship to child, and phone number (no need to list parents already included on this form)
Your answer
Health History
The more information you can provide, the better we can meet the needs of your child. All information is treated with confidentiality and respect.
Is the participant under any form of treatment for an illness, condition or injury?
If YES please explain
Your answer
Does your child have any medical or behavioural issues that we should be aware of?
If YES please explain
Your answer
Carries EpiPen?
Allergies?
If YES please explain
Your answer
Dietary needs or restrictions?
Other health issues
Please check any applicable areas
Required
Medical Information
Doctors Name
First, Last
Your answer
Doctors Phone Number
Your answer
Child's Health Card ID
ID number + letter code
Your answer
Immunization Record
More Information about your child
Please take a moment to answer the following questions. This gives us a chance to learn a little more about your child prior to their first day and ensure their transition to preschool goes as smoothly as possible.
Has your child participated in any other structured programs before?
If so, what and how did they respond to the structure? Did they participate in these programs on their own or with a parent/caregiver?
Example: Soccer, daycare, ballet
Your answer
Does your child have any siblings or pets?
Example: Little Brother, Ben, 18 months old
Your answer
What stage of potty training is your child in?
Any potty training tips that might be helpful that you would like to share with their teacher?
Required
Who all lives in your household?
Example: Mom (Jane), Dad (John), Little Brother (Ben), Johnny (preschool student) and cat (Slippers)
Your answer
Does your child have any fears, behavioural concerns or developmental delays we should be aware of?
Example: Speech Delay – currently seeing a speech therapist once a week
Your answer
What are your child’s interests?
Example: My Little Pony, ballet, Lego, crafts …
Your answer
Anything else you would like to share with the teachers please write below.
Your answer
Program Enrollment
and confirmation of days
Choose your summer program days
2-day: Tuesday & Thursday : Select your total days to attend
Use this box ONLY if you selected the Tuesday & Thursday program option
3-day: Monday & Wednesday & Friday : Select your total days to attend
Use this box ONLY if you selected the Monday & Wednesday & Friday program option
Do you already know of dates you WON'T be attending?
If so give us a heads up and write the dates here, remember dates must be submitted in writing BEFORE June 1, 2017, otherwise full program amount will be charged.
Your answer
Enrolment Commitment, Terms, and Payment
1. Lil’ Learners Summer Preschool Program runs from July - August 2017
2. Enrolment Deposit – A $100 non-refundable deposit is required at registration, which will be used towards the full enrolment fee due June 1, 2017 via credit card stored on account.
3. There are no charges for statutory holidays or pre-scheduled closure dates.
4. Payment for the summer program 2017 is due on June 1, 2017 via the stored credit card on file. The clients card will automatically be charged unless the client emails us at junction.preschool@oaksnacorns.com prior to June 1, 2017 and provides an alternate payment method such as cash, cheque or pays in store with debit. Delayed payments for any reason, will be charged an additional $5 fee for each day overdue.
7. Clients have the option of choosing 12, 14 or 16 days for their preschool summer enrolment. The number of days selected must be submitted to the preschool team via email prior to June 1, 2017. Client who do not choose their preferred number of weeks will automatically be charged for the full number of possible days in the program (14 days for Mon/Thur, 16 days for Tue/Fri).
I have read and understood the enrolment conditions, terms and payment of this program and choose to enrol my child as per these terms and conditions.
Required
Cancellation Policy
To withdraw from the Lil’ Learners preschool program the following conditions apply:


Cancellations must be made in writing prior to June 1 2017, the non-refundable deposit will not be returned but the client will not be charged for the full summer preschool enrolment fee.


Should a client wish to withdraw from the Summer preschool program after June 1, 2017 it is with the understanding that no refunds will be possible. A credit to account minus the non-refundable fee will only be considered in extreme circumstances and a medical note may be required. The request must be in writing in all cases.

I have read and understood the cancellation policy of this program and choose to enrol my child as per these terms and conditions.
Required
Program Conditions
1. No refunds or make-up days are available for this program, due to an absence, for any reason.
2. In the event of an unforeseen closure on a scheduled preschool day no refund or substitute day will be given.
3. An up-to-date immunization record must be provided before child’s 1st day of attendance (or a letter stating why you have chosen not to vaccinate your child)
4. Sick children must be kept home, please call us to let us know Junction: 416-604-3300
5. Children that are unwell during the program will be sent home, and must be symptom free for 24 hours in order to attend their next scheduled class.
6. Lil’ Learners Preschool is not equipped to work with children with special needs or conditions, we are happy to recommend a more suitable program for your child.
7. By enrolling your child into this program oaks ‘n acorns reserves the right to withdraw any student from the preschool at any time of the year if it is believed to be in the best interest of the child and/or other children in the school and classroom.

oaks ‘n acorns Inc. reserves the right to cancel or reschedule any class or program due to:
• Instructor illness
• Reasons beyond our control
• Minimum enrolment not met
• New regulations as set forth by government of Ontario

In the case that oaks ‘n acorns has to cancel a class/program, we will notify customers immediately via email or phone number on file.

I have read and understood the program conditions of this program and choose to enrol my child as per these terms and conditions.
Required
Did you pay your preschool deposit online or would you like a credit card authorization form sent via email?
FINAL CONFIRMATION and SIGNATURE
YES, I have read, understood and agree with all the terms and conditions of this summer preschool program. I hereby give permission to charge my credit card on file for the full summer preschool amount (minus deposits paid) on June 1, 2017.
SIGN full name
By typing your name if on a computer
Your answer
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