780-432-9226

Strathcona Nursery School

Online Registration

Family

Board Positions - Volunteer roles are vital to the running of SNS. The Board meets once a month to oversee and manage all aspects of school management. Please indicate if you are interested in any of these positions and we will contact you with info.
Family Name
Family Name

Mother (or Guardian)
Relation to Child
First Name		Last Name
Home Phone		Cell Phone
Address
City
Work		Work Phone
Work Address
School		School Phone
School Address
Birth Date
Email Address

Co-Registrar - assists registrar, creates Duty Roster and Contact Lists Co-Secretary - Produces newsletter, oversees SNS Facebook page and Website Co-Treasurer - assists treasurer, handles student fees and payroll. Fundraising Coordinator(s) - oversees a yearly fundraiser and casino participation (every two years) President - oversees administration of school. Chairs board meetings, SAGMS and Personnel Committee. Recruitment & Advertising Coordinator - manages R&A efforts to promote the School and functions as the Chair of the R&A Committee. Registrar - registers students, handles inquires and changes to student registration. Secretary - takes minutes at all meetings and makes minutes available to Board members and membership. Treasurer - manages all financial items for the preschool, pays bills. Vice President - assists President and functions as Volunteer Coordinator and Chair of the Social Events Committee.
Other Volunteer Positions - Volunteer roles are vital to the running of SNS. Please indicate your interest in any that apply for all caregivers. We will contact you with more information.

Father (or Guardian)
Relation to Child
First Name		Last Name
Home Phone		Cell Phone
Address
City
Work		Work Phone
Work Address
School		School Phone
School Address
Birth Date
Email Address

Board Positions - Volunteer roles are vital to the running of SNS. The Board meets once a month to oversee and manage all aspects of school management. Please indicate if you are interested in any of these positions and we will contact you with info.
Co-Registrar - assists registrar, creates Duty Roster and Contact Lists Co-Secretary - Produces newsletter, oversees SNS Facebook page and Website Co-Treasurer - assists treasurer, handles student fees and payroll. Fundraising Coordinator(s) - oversees a yearly fundraiser and casino participation (every two years) President - oversees administration of school. Chairs board meetings, SAGMS and Personnel Committee. Recruitment & Advertising Coordinator - manages R&A efforts to promote the School and functions as the Chair of the R&A Committee. Registrar - registers students, handles inquires and changes to student registration. Secretary - takes minutes at all meetings and makes minutes available to Board members and membership. Treasurer - manages all financial items for the preschool, pays bills. Vice President - assists President and functions as Volunteer Coordinator and Chair of the Social Events Committee.
Other Volunteer Positions - Volunteer roles are vital to the running of SNS. Please indicate your interest in any that apply for all caregivers. We will contact you with more information.

Emergency Contacts

This space is intended for emergency contacts other than the parents

First Name		Last Name
Address
City
Home Phone		Cell Phone
Relation to Child
Authorized for Pickup

First Name		Last Name
Address
City
Home Phone		Cell Phone
Relation to Child
Authorized for Pickup

First Child

Personal

First Name

Last Name

Nick Name

Birth Date

Sex

Child Lives With

Mother Father Other

Is there a custody agreement?

Enrolment

Desired Start Date

Are there any specific custody or access rights that Strathcona Nursery School should be aware of? Please enter No or provide details.

List of persons authorized to pick up your children: Please enter No or provide the names and relationship to your child(ren), of all persons authorized to pick up your child(ren) from Strathcona Nursery School (do not include parents names):

1 Monday AM

2 Monday PM

3 Tuesday AM

4 Tuesday PM

5 Wednesday AM

6 Wednesday PM

7 Thursday AM

8 Friday AM

9 Friday PM

Medical

Physician's Name

Physician's Phone

Medical Concerns

Diet Restrictions

Allergies

Is the child's immunization up to date?

Yes No

Does your child receive medication on an ongoing basis?

Yes No

If yes, please specify

Does your child carry an epi-pen or other emergency medications? Please enter No, or provide details.

Subsidy

Subsidy is approved

Amount

I have applied for subsidy

Application Date

I will apply for subsidy

I need help applying for subsidy

I do not plan to apply for subsidy

Second Child

Personal

First Name

Last Name

Nick Name

Birth Date

Sex

Child Lives With

Mother Father Other

Is there a custody agreement?

Enrolment

Desired Start Date

Are there any specific custody or access rights that Strathcona Nursery School should be aware of? Please enter No or provide details.

1 Monday AM

2 Monday PM

3 Tuesday AM

4 Tuesday PM

5 Wednesday AM

6 Wednesday PM

7 Thursday AM

8 Friday AM

9 Friday PM

Medical

Physician's Name

Physician's Phone

Medical Concerns

Diet Restrictions

Allergies

Is the child's immunization up to date?

Yes No

Does your child receive medication on an ongoing basis?

Yes No

If yes, please specify

Does your child carry an epi-pen or other emergency medications? Please enter No, or provide details.

Subsidy

Subsidy is approved

Amount

I have applied for subsidy

Application Date

I will apply for subsidy

I need help applying for subsidy

I do not plan to apply for subsidy

Third Child

Personal

First Name

Last Name

Nick Name

Birth Date

Sex

Child Lives With

Mother Father Other

Is there a custody agreement?

Enrolment

Desired Start Date

Are there any specific custody or access rights that Strathcona Nursery School should be aware of? Please enter No or provide details.

1 Monday AM

2 Monday PM

3 Tuesday AM

4 Tuesday PM

5 Wednesday AM

6 Wednesday PM

7 Thursday AM

8 Friday AM

9 Friday PM

Medical

Physician's Name

Physician's Phone

Medical Concerns

Diet Restrictions

Allergies

Is the child's immunization up to date?

Yes No

Does your child receive medication on an ongoing basis?

Yes No

If yes, please specify

Does your child carry an epi-pen or other emergency medications? Please enter No, or provide details.

Subsidy

Subsidy is approved

Amount

I have applied for subsidy

Application Date

I will apply for subsidy

I need help applying for subsidy

I do not plan to apply for subsidy

Wrap Up

How did you first hear about us?

Family

Family Name

Mother (or Guardian)

Father (or Guardian)

Emergency Contacts

First Child

Personal

Enrolment

Medical

Subsidy

Second Child

Personal

Enrolment

Medical

Subsidy

Third Child

Personal

Enrolment

Medical

Subsidy

Wrap Up

How did you first hear about us?