Professional Documents
Culture Documents
Registration Form
Welcome to Eaglesham Playschool Club! Please complete this form so that we can learn some basic
information about you.
Child’s Information:
Last Name: First Name: M.I.:
Date of Birth: Sex: M F
MM/DD/YYYY
Address:
Address City Province Postal Code
Telephone (Home):
Phone:
Home Work Cell
Are you able to send and receive text messages from cell # provided: Y N
Email: @ .
Your preferred method/best number to reach you:
Phone:
Home Work Cell
Are you able to send and receive text messages from cell # provided: Y N
Email: @ .
Your preferred method/best number to reach you:
Health Information:
Physician’s Name: Phone #:
Alberta Health Card #:
Allergies/Medical Conditions:
Contacts: (Please list any other contacts that may pick-up or drop-off your child in the absence of the
parent/guardian/emergency contact listed on this form.)
Last Name: First Name:
Relationship to child:
Cell or Daytime Phone #:
As a parent/guardian of a child registered in Eaglesham Playschool Club, I (we) agree to fulfill our
participation and responsibilities in the following ways:
• Pay required fees: $20 registration fee + $500 tuition fee ($520)
• Attend at least 1 parent/teacher meeting to discuss progress of child
• Work in the classroom as an assistant on my assigned days and take responsibility for providing a
trained substitute when necessary (will be determined by teacher)
• Provide a nutritious snack for my child (or class if required)
• Keep my child at home if there are signs of any communicable disease
• Volunteer for a board or committee position
• Participate in fundraising according to school guidelines
• Fulfill duties assigned equally to all for the upkeep of the school facilities
By signing the portion below, I (we) am willing to meet the above requirements of Eaglesham
Playschool Club:
Parent/Guardian Date