Preschool Registration Form printable pdf download

Preschool Registration Form

École Montrose

PRESCHOOL Registration Form

Last name (legal*):________________________________ Last name (used):__________________________

First name: _______________________

Middle name(s): ____________________________

Birth Date: _____dd/mm/yyyy_____Male: _____ Female: ______

Alberta Health Care: ________________

Student Address: _____________________________________

City: ___________________________

Postal Code:_________________

Primary contact number:_________________________

Parent/Guardian Information

Father/Guardian

Last Name: _______________ First Name: _________________ Relationship to Student: _____________

Living with Student: Yes: __No:__ Address (if different than student): ______________________________

Home Phone: ____________ Work Phone: ________________ Cell Phone: _______________

Mother/Guardian

Last Name: _______________ First Name: _________________ Relationship to Student: _____________

Living with Student: Yes: __No:__ Address (if different than student): ______________________________

Home Phone: ____________ Work Phone: ________________ Cell Phone: _______________

Custody

Are there any court orders affecting the access to the student: Yes:__ No:__

If yes, please describe:_______________________________________________________

_________________________________________________________________________

(Note: Copies of court paper are required)

Preschool Registration Form