2024 Registration Form
Welcome to B-Smart Learning Center and thank you for choosing us to provide your child the highest quality of care and early learning experience.

CRITERIA
Your child must be 3 years of age by September 2024 to be registered for the preschool. Registrations are taken on a first come first serve basis.

Child MUST be fully potty trained (no diaper and no pull-ups)

We accept the following types of payments:
* Cash
* Direct payment through Hi mama App

Preschool Address: 13639- 66 Street NW, Edmonton, Alberta, T5C 0B8

Email *
LEGAL VERIFICATION the following documents are required to complete the registration:
Please scan and send the following documents by email to info@b-smart.ca to complete your child registration

□ Birth Certificate
□ Alberta Health Card
□ Immunization Record
□ Custody Document (if available)

Supportive documents required for students that are born outside of Canada
□ Passport
□ Permanent Residency
□ Student/Work Visa
2024 Fees  
Registration, uniform and school supplies and toys replacement fees are due upon registration as follows
* One time - Registration Fee $200 (Non Refundable) 

Space Deposit
Upon registration, there is a $150 Space Deposit Fee (Will go towards June 2025 Payment)
If parents decide to withdraw their child from the B-Smart program, parents MUST email a notification to info@b-smart.ca with four weeks notice on the 1st of the month. However, if they postpone the withdrawal notice to after the 1st of the month, then the $150 space deposit is non refundable. 
Please indicate how many days will your child attend per week.  *
Families with children enrolled in a licensed preschool program can apply for subsidy of $125 per month. Eligible lower- to middle-income families can apply for child care subsidies if they have a child enrolled in: licensed preschools centers (up to $125 / month). To apply for subsidy, please click on the link below:https://www.alberta.ca/child-care-subsidy.aspx *
If your child will be attending the B-Smart Daycare, kindly note that the FREE transportation service covers only AM shifts. Daycare Fees are still REQUIRED in FULL. Your child has a RESERVED spot which means on days like PD days, Winter, Spring, and Summer Break, they can attend FULL time daycare at NO additional cost!
Will your child attend the B-Smart Daycare & OSC ?
If your answer is YES, your child MUST be enrolled in the Preschool AM session
Clear selection
Session of your choice. Please note that our doors open and close following the exact times below. $2/ minute applies as LATE PICK UP FEE after 12:00 PM or 4:00 PM. No exceptions *
Child Information. Please fill out all the information below
Child legal surname ( Last Name) *
Child legal first name *
Preferred first name (AKA)
Child legal middle name
Student’s Mailing Address
*
  City   
*
  Province  
*
Postal Code *
Child DOB (Date of Birth) *
MM
/
DD
/
YYYY
Child AHC ( Alberta Health Card Number) *
Ethnicity ( for statistical purpose only)
Primary Language spoken at home *
Does the child live with both parents *
If the child lives with one of the parents, please indicate *
Required
Parent Information. Please fill out all the information below
Father first & last name *
Father cell number *
Father Email *
Father profession & employer *
Mother first & last Name *
Mother cell number *
Mother Email *
Mother profession & employer *
Emergency Contact ( An adult other than the parents and who is a resident in EDMONTON). Example: grand parent, uncle, aunt, family friend.
Emergency Contact #1
First and Last name  *
Phone number *
Emergency Contact #2
First and Last name *
Phone number *
Pick up Information. Please indicate the name of the people who have permission to pick up your child. Please note that we require a photo ID to confirm the identity of the person who is picking up your child.
As the primary caregiver of the above child, I give consent to the below people to pick up my child whose name is listed above. *
Educational History. Please fill out all the information below
Does your child have any special learning needs. If yes, please attach relevant *
Does your child have an IPP or modified instructional program plan. Provide documents *
I confirm that all the information provided is accurate and complete. *
Untitled FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT The personal information collected on this form is part of the student’s registration process. All personal information collected during the registration process and during the course of the school year will be used to provide an educational program and ensure a safe and secure school environment.
DECLARATION BY PARENT I understand, as does my child, that to the extent that age permits, enrollment at the B-Smart Preschool is conditional upon maintenance of self-discipline, good character, respect and tolerance towards others. I understand that the acceptance of the registration will be based on a number of factors including payments of registration fee, available class space, and is subject to the discretion of the B-Smart Preschool. In the instance the B-Smart staff notices that the student’s academic, social or emotional requirements cannot be met at the B-Smart within up to two weeks from the start date, parents will be required to transfer the student to a program where his/her learning and behavior needs can be met under the support and guidance of the administration. I, the undersigned, have read the above and abide by the B-Smart's educational expectations, behavior expectations, financial expectations and schedule of fees upon enrolment of my child.
Please write the full name of the parent or guardian
*
Required
MEDIA/PHOTOGRAPHY: CONSENT AND RELEASE FORM 
I understand that my child whose name is listed above may be photographed at B-Smart Learning Center during normal care hours, daily activities, events, or field trips.  I give permission for my child photographs to be used in the center newsletters or posted on the B-Smart Learning Center website or social media (Facebook, Instagram or Himama ).
*
Parent or Guardian Full Name *
If you have any difficulty filling out this form, please contact us at (780) 982-4928, send us an email to info@b-smart.ca, or visit us in person at 13639-66 street Edmonton AB, T5C 0B8
For more information about our program, please visit our website www.b-smart.ca 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report