Enroll

Register your child

Complete the short steps below. Your progress is saved automatically, so you can step away and finish later.

Company

Step 1 of 7

Child's Information

Your child's details, schedule, and care history.

First Name *

Middle Name

Last Name *

Nickname

Birth Date *

Gender

Date Applied

Start Date

Drop-Off Time

Pick-Up Time

Number of Siblings

Legal Guardian

Child's Home Phone

Child's Home Address

Been in child-care before?

YesNo

Name of Centre (previous)

Health Care Number

Immunizations Up-to-Date

YesNo

Mother / Guardian

Details for the mother or primary guardian.

First Name

Last Name

Relationship to Child

Marital Status

Employer

Email Address

Home Address

City

Postal Code

Home Phone

Work Phone

Cell Phone

Is mother/guardian allowed to pick up child?

YesNo

Father / Guardian

Details for the father or second guardian.

First Name

Last Name

Relationship to Child

Marital Status

Employer

Email Address

Home Address

City

Postal Code

Home Phone

Work Phone

Cell Phone

Is father/guardian allowed to pick up child?

YesNo

Subsidy & Primary Contact

Subsidy, custody, and where we should send your confirmation.

Applying for Subsidy?

YesNo

Parent to be contacted in emergency

Parent/Guardian with legal custody

Best email for us to confirm your registration *

Other Emergency Contacts

People we can reach (and pickup authorizations) if a parent/guardian is unavailable.

Contact #1 — Full Name

Contact #1 — Relationship to Child

Contact #1 — Home Address

Contact #1 — City

Contact #1 — Postal Code

Contact #1 — Home Phone

Contact #1 — Work Phone

Contact #1 — Cell Phone

Contact #1 — Authorized to Pick Up

YesNo

Contact #2 — Full Name

Contact #2 — Relationship to Child

Contact #2 — Home Address

Contact #2 — City

Contact #2 — Postal Code

Contact #2 — Home Phone

Contact #2 — Work Phone

Contact #2 — Cell Phone

Contact #2 — Authorized to Pick Up

YesNo

Additional people authorized for pickup (full name, relationship, phone)

Persons NOT allowed to pick up (full names & relationships)

Child's Medical Information

Doctor, health coverage, allergies and care needs.

Family Doctor

Office Phone

Doctor Address

Doctor City

Doctor Postal Code

Medical Ins. #

Alberta Health #

Allergies

Medical problems, past surgeries, or serious illness

Medication (name of drug and dosage)

Allergies Diagnosed

Medication Required

Is child toilet trained?

YesNo

Child's typical reaction to stress

Child's typical reaction to illness

Parent's method of discipline

Health, behavioral, developmental or other concerns

Consents & Authorizations

Please review each item. Required acknowledgements are marked, and the final signature completes your registration.

Late Pick-Up Policy: I understand children must be picked up by 5:45 p.m. and the late fee is $1/minute (15-minute minimum). *

Registration Fee: I understand there is a non-refundable registration fee of $100.00. *

Emergency Consent: I consent to my child being taken to the nearest emergency center / transported by ambulance if I cannot be contacted, and agree to pay related costs. *

Off-Site Activity Permission: I consent for my child to participate in field trips and walks.

Parent Handbook Agreement: I have read and understand the Parent Handbook. *

Subsidy Privacy Allowance: I allow staff to inquire about my subsidy application status.

Biting Policy: I have read the Biting Policy and understand the termination conditions.

Developmental Screening Permission: I permit monitoring via the Nipissing Developmental Screening Tool.

Technology, Visual & Video Permission: I permit my child to take part in computer/TV/video/recording activities.

Telephone Release: I have no objection to the release of my phone number to other parents for social events.

Permission to Photograph — Still photographs (scrapbook, group pictures, bulletin boards, slideshows, portfolio, keepsake)

Grant PermissionDecline Permission

Permission to Photograph — Display still photos on the daycare website (no names without consent)

Grant PermissionDecline Permission

Permission to Photograph — Videos (children watching themselves, dramatic play, etc.)

Grant PermissionDecline Permission

Sunscreen: I give permission for staff to apply sunscreen I provide and label (SPF 30+).

YesNo

Sunscreen allergy / medical condition note (if any)

Insect Repellent: I give permission for staff to apply insect repellent I provide and label.

YesNo

Type your full name as your electronic signature *

Date *

Thank you — your registration was received!

We have emailed a copy to you and notified our team. We will be in touch shortly. Please remember the non-refundable $100.00 registration fee and to submit a copy of the immunization card.

Your information is saved securely as you go. Fields marked * are required.