Pre-Enrollment Form
MINDFUL HORIZONS ACADEMY
Student Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
Male
Female
Parent Name
Email
Requesting Semester
Fall 2024
Winter 2025
Where are you located?
Please Select
Collingwood
Barrie
Wasaga Beach
Toronto (GTA)
Outside Ontario
Other
Springwater
Choose which location is closest to you
Languages spoken
Child's age category in September 2024
18m - 2.5yr
2.5yr - 6 yr
Under 18m
Over 6yr
Does your child meet age-appropriate developmental milestones?
Are there any particular areas in which your child may require additional support or accommodations?
Questions and/or comments or requests
Date
-
Month
-
Day
Year
Date
Signature
Submit
Should be Empty: