New Enrollment

Start Your Child's
Success Story

Fill out the form below to begin the registration process. Our team will contact you shortly to finalize the enrollment.

Child Info

Guardian

Complete

Child's Profile

Tell us about your little one.

Child's Name *

Nickname or any preferred name

Gender *

Date of Birth *

Desired Start Date *

Location *

Address *

Tell us about the parent/guardian.

Name *

Marital Status

Phone Number *

Email *

Address *

Health and care requirements.

Alberta Health Care Number

Physician's Name

Physician's Contact Number

Is your child's immunization up to date? *

Yes No

General state of health

Any known allergies

Symptoms/reactions of allergies

Medication required if any

Are you concerned that you child may be prone to any type of allergies? Please describe:

Does your child have any medical conditions which we should be made aware of:

Does your child have any speech, hearing or visual problems? Please describe:

Would there be any restriction to play or activities?

I agree to the terms of enrollment and privacy policy. *