Registration

Family Name

First Parent

Relation to Child

First Name

Last Name

Cell Phone

Home Phone

Physical Address (Street Location and/or Land Location) NO BOX NUMBERS

City

Province

Postal Code

Work Name

Work Phone

Work Address

Birthdate

Email Address

Second Parent

Relation to Child

First Name

Last Name

Cell Phone

Home Phone

Physical Address (Street Location and/or Land Location) NO BOX NUMBERS

City

Province

Postal Code

Work Name

Work Phone

Work Address

Birthdate

Email Address

First Child

Second Child

Third Child

Emergency Contacts (Other than parents)

Relation to Child

First Name

Last Name

Cell Phone

Home Phone

Physical Address (Street Location and/or Land Location) NO BOX NUMBERS

City

Province

Postal Code

Authorized for Pickup

Relation to Child

First Name

Last Name

Cell Phone

Home Phone

Physical Address (Street Location and/or Land Location) NO BOX NUMBERS

City

Province

Postal Code

Authorized for Pickup

Wrap up

How did you first hear about us?

Print Directory

Alberta Government Website

Web Search

Word of Mouth (referral)

Drive by (saw the signs)

Other