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KINGSLAND COMMUNITY PRESCHOOL REGISTRATION FORM
2019-2020 SCHOOL YEAR
Please fill in
ALL
information and be sure to include your emergency contact's name, address and phone number.
NOTE: the emergency contact needs to be someone outside your child’s immediate family who lives within the City of Calgary.
Your child’s registration will not be confirmed until all required information is provided.
First Choice Program:
*
3 Year-old AM
3 Year-old PM
4 Year-old AM
4 Year-old PM
Second Choice Program:
*
3 Year-old AM
3 Year-old PM
4 Year-old AM
4 Year-old PM
Child's Information
Name:
*
Address:
*
Postal Code:
*
Phone:
*
Mother
Name:
*
Address:
*
Postal Code:
*
Res. Phone:
*
Work Phone:
*
Cell Phone:
*
Email:
*
Father
Name:
*
Address:
*
Postal Code:
*
Res. Phone:
*
Work Phone:
*
Cell Phone:
*
Email:
*
Emergency Contact
*Please fill out completely. Must be someone other than the child's parents who lives within the City of Calgary
Name:
*
Phone:
*
Address:
*
Relationship to the Child:
*
Name:
*
Phone:
*
Relationship to the Child:
*
Child's Medical Information
Date of birth:
*
AB Health Care #:
*
Gender:
*
Male
Female
Are his/her immunizations up-to-date?
*
Yes
No
Does you child have any medical or emotional condition(s) requiring treatment or supervision?
*
Yes
No
Description:
*
Is your child on any medication or have any dietary restriction(s)?
*
Yes
No
Description:
*
Additional Information
Previous school / playschool experience:
*
Language(s) spoken at home:
*
Language(s) spoken at home:
*
Sisters:
Ages:
Brothers:
Ages::
Do you have a first aid certificate?
*
Yes
No
Are you interested in volunteering with the Preschool Committee?
*
Yes
No
Are you a Kingsland Community Association Member
*
Yes
No
What skills, hobbies, or interests do the child's parents have that could be shared with the preschool? (i.e. Music, sewing, cooking, etc.):
I fully understand the following (Please check each item)
*
While due care will be taken for the pupils, Kingsland Community Preschool accepts no responsibility for any accidents or injury sustained while on Preschool property.
CHILDREN MUST BE TOILET-TRAINED TO ENTER the program and must turn 3 prior to December 31 to enter the 3 year-old program and 4 by February 28 to enter the 4 year-old program.
These programs are run on a teacher/volunteer basis. Parents will be scheduled by rotation to assist the teacher with class activities, and to bring a nutritious snack.
Parents are required to assist with cleanup of the school's equipment and toys once per year.
Two professional development days will be given to the teacher during the school year.
Detailed school manuals outlining policies/procedures will be available at orientation and online.
Your name:
*
Date:
*
Consent to Share Email Address
From time to time parents would like to be able to contact one another to arrange play dates and birthday parties. In order to facilitate this we will publish a class list of email addresses for each student in the class. Do you consent to the inclusion of your email address on the class list for your child?
*
Yes I consent to include my email address on the class list for distribution to other parents
No I do not consent to include my email address on the class list for distribution to other parents
If yes, please provide the email address that you would like on the class list:
SUBMIT
This field should be left blank
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