Registration Note: for the Parent and Child Program, click here. Child’s InformationChild’s Name *Date of Birth *Address *Child’s PhotoChoose FileNo file chosenDelete uploaded file.jpg, .gif or .png files acceptedFamily InformationLegal GuardianLegal Guardian Name *Relationship to child *Address (if different from above)Email Address *Phone Number *Second Legal Guardian (if applicable)Second Legal Guardian NameRelationship to childAddress (if different from above)Email Address *Phone Number *Alternate Family ContactAlternate Family Contact Name *Relationship to Child *Address (if different from above)Email AddressPhoneName (s) & age(s) of siblingsLanguages spoken in the homeKindergarten RegistrationKindergarten Program – please state the number of days2 Full Days3 Full Days5 Full DaysGrades RegistrationProgramGrade 1/2Grade 3/4Grade 5/6Friday Nature ProgramMedical InformationBirth WeightPresent WeightPresent HeightAny unusual conditions during pregnancy or birthAprox. age for the following milestones:CrawlsSitsWalksTalksToilet TrainedDoes your child have allergies/food sensitivities? And what is the severity? *Are there other health concerns we should be aware of?What childhood illnesses has your child had?Give details of any learning delays or challengesApplication Fee Please submit a non-refundable $100 application fee which will be applied to your tuition using e-transfer to [email protected]. SUBMIT APPLICATIONPlease do not fill in this field.
