SPARKLING SAPPHIRES PRESCHOOL

SPARKLING SAPPHIRES PRESCHOOL

Instilling Respect, Producing Exellence
REGISTRATION FORM
CHILD'S NAME

First NameLast Name
B.C PIN #:
Birth Certificate
BIRTH CERTIFICATE

Browse Files
Please attach scanned doc. Cancelof
DATE OF BIRTH

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
ALLERGIES:
RELIGION:
MOTHER'S NAME

First NameLast Name
ID#
ADDRESS

Street Address

Street Address Line 2

City
PHONE NUMBER 1

Area CodeHome Phone
PHONE NUMBER 2

Area CodeCell Phone
OCCUPATION:
FATHER'S NAME:

First NameLast Name
ID#
ADDRESS (If different from above)

Street Address

Street Address Line 2

City
PHONE NUMBER 1

Area CodeHome Phone
PHONE NUMBER 2

Area CodeCell Phone
OCCUPATION:
IN CASE OF EMERGENCY CONTACT:
NAME

First NameLast Name
PHONE NUMBER 1

Area CodeHome Phone
PHONE NUMBER 2

Area CodeCell Phone
RELATIONSHIP TO CHILD:
Email
example@example.com
REMARK:
For further information contact 1(868) 355-6790, 1(868) 690-0152 or WhatsApp 1(868) 778-1533
Signature
Should be Empty:

REGISTRATION FORM