Pre-primary Registration 2020-2021

Please complete the following information to pre-register your child for the Pre-primary Program.



Please pre-register my child at *


Child Information

Child First Name *
Child Last Name *
Date of Birth *

Day:
Month:
Year:
Is your child receiving services? (ie: Speech Language Pathology, Early Intervention, etc.) *
If you are eligible to receive bus service, would you be interested in bus service for your child?

Parent / Guardian Information

Parent 1
Parent / Guardian First Name *
Parent / Guardian Last Name *
Primary Phone *
Secondary Phone
E-mail Address *

Parent 2
Parent / Guardian First Name
Parent / Guardian Last Name
Primary Phone
Secondary Phone
E-mail Address


Mailing Address
Street, Apartment / Suite *
City *
Province *
Postal Code *



Civic Address: (if different from mailing address)
Civic Street, Apartment / Suite
Civic City
Civic Province