11110 11th Street NE, Calgary, AB, T3K 2R5

(587) - 534 - 0500

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About
Programs
Our Focus
Rates
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Sign Up
- Enrollment Form
- Registration Form

Home
About
Programs
Our Focus
Rates
Contact
Sign Up
- Enrollment Form
- Registration Form

Home
About
Programs
Our Focus
Rates
Contact
Sign Up
- Enrollment Form
- Registration Form

Registration Form

Home > Registration Form

REGISTRATION FORM

CHILDS INFORMATION

First Name

Last Name

M.I

Street Address

City

State/Province

ZIP / Postal Code

Gender (please select)MaleFemale

Hours Of Childcare Required (please select)Full DayHalf Day

Days Of The Week RequiredMondayTuesdayWednesdayThursdayFriday

Do you require before or after school care?Before SchoolAfter School

PARENT'S INFORMATION

First Name

Last Name

Phone Number *

Place of work

Email Address

Emergency Contact 1

In the event of an emergency, please contact:

First Name

Last Name

Primary Phone Number *

Secondary Phone Number

Emergency Contact 2

In the event of an emergency, please contact:

First Name

Last Name

Primary Phone Number *

Secondary Phone Number

Other people authorized to pick up your child from school

First Name

Last Name

First Name

Last Name

Medical Information

Doctor's First Name

Doctor's Last Name

Doctor's Phone Number *

Dentist's First Name

Dentist's Last Name

Dentist's Phone Number *

Preferred Hospital

Insurance/Health Coverage

Please list any of the following: Current medications, medication allergies, food allergies, or chronic health concerns.

Sign Up Steps

STEP 1: Enrolment Form

Please fill out the enrollment form on our website and pay the enrollment fee to secure your spot.

STEP 2: Enrolment Fee’s

After the form is completed you will be redirected to our secure payment portal to pay $125 enrollment fee.

STEP 3: Registration Form

After the fee is recieved, wait for an email from our team with a secure password to complete the registration.

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