Sign up hereInterested in signing your little one up? Enter the info below and send e-transfer to stephaniem306@gmail.com Child Information * First Name Last Name Date of Birth Current Grade/Level (###) ### #### Home Address City Province Parent/Guardian Information * First Name Last Name Relationship to Child Email Phone (###) ### #### Address (if different from child's) Medical Information First Name Last Name Primary Physician's Name Phone (###) ### #### Medical Conditions/Allergies Medications Enrollment Information Frequency Preference 1 Day Per Week 2 Days Per Week 3 Days Per Week Full Time Part Time E-Transfer E-transfer to be sent to stephaniem306@gmail.com. Weekly payments are due every Thursday for the following week's attendance. Consent for Weekly Payment * I/We agree to make weekly payments via e-transfer every Thursday for the following week's attendance. I/We understand that timely payment is required to secure the child's place in the program. I agree Date MM DD YYYY Additional Information Please provide any additional information that you believe is important for the school to know regarding your child Thank you!
