tlcpreschoolcochrane@gmail.com
|
4039818521
TLC Preschool
Online Registration
Family
Family Name
First Parent
Relation to Child
First Name
Last Name
Cell Phone
Home Phone
Home Address
City
Province
AB
BC
MB
NB
NL
NT
NS
NU
PE
SK
ON
QC
YT
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
Postal Code
Work Name
Work Phone
Work Address
Email Address
By providing your email address you are implying consent to receive occassional email messages from our centre
Second Parent
Relation to Child
First Name
Last Name
Cell Phone
Home Phone
Home Address
City
Province
AB
BC
MB
NB
NL
NT
NS
NU
PE
SK
ON
QC
YT
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
Postal Code
Work Name
Work Phone
Work Address
Email Address
By providing your email address you are implying consent to receive occassional email messages from our centre
First Child
Given Name
Last Name
Goes By
Birthdate
Sex
Male
Female
Living Arrangements
Child lives with
Mother
Father
Other
Other Guardian
Is there a custody agreement?
No
Yes
Custody Agreement Notes
School
Please enter school details as you expect them to be on your child's start date
Not in school
Attending kindergarten
Attending grade 1 to 6
School Name
Enrolment
Desired Start Date
Program
Full Day Preschool 2 Days
Full Day Preschool 3 Days
Full Day Preschool 5 Days
Half Day Preschool 52 Days AM
Half Day Preschool 3 Days AM
Half Day Preschool 2 Days PM
Half Day Preschool 3 Days PM
Half Days Preschool 5 Days AM
Half Day Preschool 5 days PM
Summer Camp July
Summer Camp August
Frequency
Full Time
Part Time
Drop In
Hours
Days
Weeks
Months
per Hour
per Day
per Week
per Month
per Term
per Quarter
per Year
Medical
Health Care #
Physician's Name
Physician's Phone
Diet Restrictions
Allergies
Other Medical Concerns
Is your child's immunization up to date?
No
Yes
Does your child receive medication on an ongoing basis?
No
Yes
Medication Details
Subsidy
Subsidy is approved
Amount Approved
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
Tell us a little about your child. Do you have any speech, gross motor, fine motor, or behavioural concerns?
Second Child
Given Name
Last Name
Goes By
Birthdate
Sex
Male
Female
Living Arrangements
Child lives with
Mother
Father
Other
Other Guardian
Is there a custody agreement?
No
Yes
Custody Agreement Notes
School
Please enter school details as you expect them to be on your child's start date
Not in school
Attending kindergarten
Attending grade 1 to 6
School Name
Enrolment
Desired Start Date
Program
Full Day Preschool 2 Days
Full Day Preschool 3 Days
Full Day Preschool 5 Days
Half Day Preschool 52 Days AM
Half Day Preschool 3 Days AM
Half Day Preschool 2 Days PM
Half Day Preschool 3 Days PM
Half Days Preschool 5 Days AM
Half Day Preschool 5 days PM
Summer Camp July
Summer Camp August
Frequency
Full Time
Part Time
Drop In
Hours
Days
Weeks
Months
per Hour
per Day
per Week
per Month
per Term
per Quarter
per Year
Medical
Health Care #
Physician's Name
Physician's Phone
Diet Restrictions
Allergies
Other Medical Concerns
Is your child's immunization up to date?
No
Yes
Does your child receive medication on an ongoing basis?
No
Yes
Medication Details
Subsidy
Subsidy is approved
Amount Approved
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
Tell us a little about your child. Do you have any speech, gross motor, fine motor, or behavioural concerns?
Third Child
Given Name
Last Name
Goes By
Birthdate
Sex
Male
Female
Living Arrangements
Child lives with
Mother
Father
Other
Other Guardian
Is there a custody agreement?
No
Yes
Custody Agreement Notes
School
Please enter school details as you expect them to be on your child's start date
Not in school
Attending kindergarten
Attending grade 1 to 6
School Name
Enrolment
Desired Start Date
Program
Full Day Preschool 2 Days
Full Day Preschool 3 Days
Full Day Preschool 5 Days
Half Day Preschool 52 Days AM
Half Day Preschool 3 Days AM
Half Day Preschool 2 Days PM
Half Day Preschool 3 Days PM
Half Days Preschool 5 Days AM
Half Day Preschool 5 days PM
Summer Camp July
Summer Camp August
Frequency
Full Time
Part Time
Drop In
Hours
Days
Weeks
Months
per Hour
per Day
per Week
per Month
per Term
per Quarter
per Year
Medical
Health Care #
Physician's Name
Physician's Phone
Diet Restrictions
Allergies
Other Medical Concerns
Is your child's immunization up to date?
No
Yes
Does your child receive medication on an ongoing basis?
No
Yes
Medication Details
Subsidy
Subsidy is approved
Amount Approved
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
Tell us a little about your child. Do you have any speech, gross motor, fine motor, or behavioural concerns?
Emergency Contacts
(Other than parents)
Relation to Child
First Name
Last Name
Cell Phone
Home Phone
Home Address
City
Province
AB
BC
MB
NB
NL
NT
NS
NU
PE
SK
ON
QC
YT
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
Postal Code
Authorized for Pickup
Relation to Child
First Name
Last Name
Cell Phone
Home Phone
Home Address
City
Province
AB
BC
MB
NB
NL
NT
NS
NU
PE
SK
ON
QC
YT
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
Postal Code
Authorized for Pickup
Agreements
Payment of Tuition
Payment is due on the first of each month, prior to school/care for that month. A PAD (pre-authorized debit) is required at the time of registration (will be emailed to you). There will be a $75 NSF charge for any PADs. Subsidy is only applied once there is confirmation from the subsidy office to the school that you qualify for it. I understand this agreement and authorize TLC to use a PAD for my child's school fees.
Late Pick Up
I understand I will be charged $2 a minute for each minute I am late picking up my child. I understand that if I am frequently late, TLC has the authority to cancel my child's registration in the program.
Health Policy
I agree to uphold the following health policy and keep my child at home when they are sick. The following criteria should be used to decide when a child is too ill to attend preschool. Your child should not attend if he/she has any of the following symptoms:Diarrhea Vomiting ColdFever Rash Ear Infection Pink Eye (conjunctivitis) Cough Sore throat If a child develops any of the above symptoms while at preschool, you or your contact person will be notified to take the child home. In the case of a communicable disease (measles, mumps, rubella etc.), or a parasitic infection, those infected may not attend preschool until clearance from the Doctor or health unit is obtained. A child must be on antibiotics for at least 24 hours, and feeling well, to be able to attend preschool.
Sunscreen Application
I hereby authorize TLC Preschool staff to apply sunscreen (provided by parents) on my child in spring and summer as needed.
Insect Repellent Application
I hereby authorize TLC Preschool staff to apply insect repellent (provided by parents) on my child in spring and summer as needed.
Photos Inside the Centre
I hereby consent to and authorize TLC Preschool to use and reproduce photographs taken of my child to post inside the centre.
Photos for Online Media
I hereby consent to and authorize TLC Preschool to use and reproduce photographs taken of my child to use for display on our website and any online social media platform.
Neighbourhood Walks
I understand that walks to neighbourhood areas and parks are part of the programming at TLC Preschool and I hereby give consent for my child to participate in these activities, without additional notifications for such walks.
Medical Authorization
In the event that I can not be reached and emergency medical treatment is required for my child, I hereby agree to allow the Director or staff of TLC Preschool to seek any medical treatment appropriate. I agree to be responsible for any costs incurred as a result of this medical treatment.
Parent Handbook Agreement
I have reviewed the TLC Preschool parent handbook, and understand it. (Will be emailed to you).
Telephone Number/Email Release
Other parents sometimes request a family's phone number/email so they can phone/email to invite your child to a birthday party or some other social event. Please sign below if you have no objections to the release of your phone number/email for this purpose.
Wrap up
How did you first hear about us?
Web Search
Word of Mouth (referral)
Drive by (saw the signs)
Facebook
Instagram
Submit Registration
Powered by
TimeSavr