info@strathconanurseryschool.com

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
Email Address

President - oversees administration of school. Chairs board meetings, SAGMS and Personnel Committee. Vice President - assists President and functions as Social Events Committee Coordinator and Volunteer Coordinator. Treasurer - manages all financial items for the preschool, pays bills. Co-Treasurer - assists treasurer, handles student fees and payroll. Registrar - registers students, handles inquires and changes to student registration. Co-Registrar - assists Registrar and functions as the Recruitment and Advertising Coordinator. Secretary - takes minutes at all meetings and makes minutes available to Board members and membership. Co-Secretary - Produces newsletter, oversees SNS Facebook page, liaises with Website Coordinator Fundraising Coordinators - oversees a yearly fundraiser and casino participation (every two years) No Thank you
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.

SNS is a parent cooperative where parents are actively sharing skills to create the best possible experience for all our children. Please tell us a little about your family. Occupation, hobbies, artistic abilities, ethnic heritage, or special skills.

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
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.
President - oversees administration of school. Chairs board meetings, SAGMS and Personnel Committee. Vice President - assists President and functions as Social Events Committee Coordinator and Volunteer Coordinator. Treasurer - manages all financial items for the preschool, pays bills. Co-Treasurer - assists treasurer, handles student fees and payroll. Registrar - registers students, handles inquires and changes to student registration. Co-Registrar - assists Registrar and functions as the Recruitment and Advertising Coordinator. Secretary - takes minutes at all meetings and makes minutes available to Board members and membership. Co-Secretary - Produces newsletter, oversees SNS Facebook page, liaises with Website Coordinator Fundraising Coordinators - oversees a yearly fundraiser and casino participation (every two years) No Thank you
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

Birth Date

Sex

Child Lives With

Mother Father Other

Is there a custody agreement?

Other questions, comments or notes

Enrolment

Desired Start Date

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

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 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):

Medical

Health Care #

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? If so, what?

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

Birth Date

Sex

Child Lives With

Mother Father Other

Is there a custody agreement?

Other questions, comments or notes

Enrolment

Desired Start Date

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

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 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):

Medical

Health Care #

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? If so, what?

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

Birth Date

Sex

Child Lives With

Mother Father Other

Is there a custody agreement?

Other questions, comments or notes

Enrolment

Desired Start Date

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

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 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):

Medical

Health Care #

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? If so, what?

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

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