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Child Full Name
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Child's Birthday
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Parent/Caregiver Name
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Last
Address Line 1
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City
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Province
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Phone
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Email
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What is your preference for program days?
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Tuesday / Thursday / Alternating Friday
Monday / Wednesday /Alternating Friday
All Days
Medical Information for Child
What is your child's first language?
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Has confirm that
What additional languages does your child speak?
Has your child attended preschool/OSC/ Kindergarten / daycare before?
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Yes
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Please tell us about your child’s strengths and interests. This will help us get to know and better serve your child at preschool.
Please tell us about areas your child has a lack of experience in or struggles with (i.e. social skills, motor skills, attention/focus, communication).
I confirm that my child uses the bathroom independently.
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