Preschool Registration Form

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Child Care Centre
t:403.440.6410 | f:403.440.7266
September 2016 - June 2017
Today’s Date: _____________________________
Child’s Name: _______________________________________________
Birth Date (dd/mm/yyyy): _____________________________________
Parent/Guardian’s Name: _________________________________________________________________
Address: ______________________________________________________________________________
City: _____________________________ Province: _______ Postal Code: __________________________
Home phone #: ________________________________________________________________________
Work phone #: _________________________________________________________________________
Cell phone #: ___________________________________________________________________________
Email address: __________________________________________________________________________
Please select category that applies to you:
MRU Student ID#:________________
MRU Employee ID#: ______________
MRU Students-must submit class schedule to receive reduced rates
Deposit (Non-Refundable) equal to one month’s fee is due at time of registration. Please indicate below
which session you are registering for. Payment can be made by Cash, Debit, Cheque payable to: MRU Child
Care Centre. Visa / MasterCard payments accepted online through
Monthly Rates
Monthly Rates
Am (9-11:45am)
Pm (1-3:45pm)
MRU Student/Employee
2-day (T/Th) am
/or pm
3-day (M/W/F) am
/or pm
5-day (M-F) am
/or pm
4825 Mount Royal Gate SW, Calgary, Alberta, Canada T3E 6K6


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Parent category: Life