Registration

Child's basic information

Child's name

Child's birthdate

Child's address

Child's nationality

Child's passport #

Child's tax number

Family information

Mother's name

Mother's ID card number

Mother's address (if different from child's address)

Mother's email

Mother's cell phone

Father's name

Father's ID card number

Father's address (if different from child's address)

Father's email

Father's cell phone

Additional Info

Fees and services provided

Annual registration

Fees

Would you like to authorize another person to pick up your child?

Name

Identity Document Number

Contact

Relationship to child

Add another person

Health information

Is there any information that would help us serve your child better? No Yes

Has your child been diagnosed with a learning condition such as ASD, ADHD, giftedness, dyslexia? No Yes

Has your child received therapy for treatment for physical, cognitive, behavioral or emotional issues? No Yes

Is your child allergic to ANYTHING? No Yes

Is your child under medical care for any illness or condition? (asthma, eczema) No Yes

Should your child’s activities be restricted in any way? No Yes

Is your child taking medication? No Yes

Have your child’s eyes been tested? No Yes

Does your child wear eyeglasses? No Yes

Does your child use diapers/nappies? (It is perfectly acceptable for a child under 3.25 years of age to use diapers and no explanation is needed.) No Yes

Does your child need special meals for medical reasons? No Yes