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Registration Form 2010-11

This document is a registration form for the Building Blocks Preschool. It collects information such as the child's name, birthdate, contact information for parents/guardians, preferred days and times for preschool attendance, photo permissions, volunteer preferences, fundraising options, and any medical information. The form also has a section for office use only to record payment details and the child's scheduled attendance days.

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oslerpreschool
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© Attribution Non-Commercial (BY-NC)
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119 views

Registration Form 2010-11

This document is a registration form for the Building Blocks Preschool. It collects information such as the child's name, birthdate, contact information for parents/guardians, preferred days and times for preschool attendance, photo permissions, volunteer preferences, fundraising options, and any medical information. The form also has a section for office use only to record payment details and the child's scheduled attendance days.

Uploaded by

oslerpreschool
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Building Blocks Preschool

Registration Form
Name of Child: ____________________________________________________

Birth Date: _______________________________________________________

Parent or Guardians Name(s): ________________________________________

Street Address: ___________________________________________________

Mailing Address: _______________________________________________

Home Phone: __________________ Work Phone: _______________________

Email address: ________________________ Cell: _______________________

Alternate Contact and Phone: ________________________________________

1. Number in importance (1 – 4) the main reason for your child to attend preschool?
____Educational ____ Social ____Crafts ____Time away

2. What is your preferred time? Please indicate your 1st and 2nd choices:
Twice per week: Tue/Thu am___ Tue/Thu pm ___
Once per week: Wed am ___ Wed pm ___ Fri am ___

3. May we include your name and phone number on the student list? Yes or No

4. Your child’s photo will be taken throughout the school year may we include it in our
online/CD photo album? Yes or No

5. Please circle one of the following options which would best fit your needs:
a. I am able to be a parent helper.
b. I would like to help with other options to fulfill my parent helper hours.
c. I cannot be a helper in any way; I will pay $20.00 per helper day that is required (4 to
6 times per year).

6. Are you able to help with Fundraisers or would you like your $50.00 cheque cashed?
____ Yes, I will help with 3 hours of fundraising ____ No, I’m unable to help

7. Is there anything you would like me to know about your child? Please include any
allergies or health concerns. ______________________________________________

………………………………………………………………………………………………………
*OFFICE USE ONLY*
Day(s) Child is attending _________________AM/ PM ________________AM/ PM
□ $20 Registration Fee Collected □ Half a year payment Sept.-Dec.
□ $50 Fundraiser Fee Collected □ Half a year payment Jan.-May
□ Monthly Post Dated Cheques □ Other Payment Arrangements

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