PRESCHOOL REGISTRATION FORM FOR ADMISSION 2021-2022

ELEMENTARY REGISTRATION FORM

FOR ADMISSION 2026-2027
Have you previously applied to or attended this school?

YesNo
When you are looking to enrol your child?*

DayMonthYear
Date of registration:*

DayMonthYear
Student Contact Information
Legal Name of Child:*

First NameLast Name
Gender
Date of Birth*

MonthDayYear
Age
Grade
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
PARENTS & GUARDIANS
Mother's Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Father's Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Has your child been diagnosed with any disease? Please specify.
Has your child been immunized?
Has your child’s vision been checked?
Corrective lenses required?
Has your child’s hearing been checked?
Does your child sleep well?
Has your child ever had any serious illness or accident? Please specify?
If your child has eczema, asthma or allergies, please specify and describe reaction:
If your child is receiving medication on an ongoing basis, please describe, including any potential side effects:
Please describe your approach to ensuring your child is on a healthy diet, including limiting sugar.
If not a Canadian Citizen, type of visa and expiry date:
Does your child have any behaviour problems that you are aware of? Please describe, including any environmental or medical factors that may set these off.
By enrolling in Alive Montessori, what do you hope to achieve for you child?
Notes
Please inform the office of any other vital information you think they may need to know in the event of an emergency. Thank you.
Documents for registration

Bring this registration form and the following documentation to the school office, or send by email.
We are required by the Ontario Ministry of Education to keep copies of the following documents on file. Please supply original documents, which we will photocopy.
❏ Birth Certificate ❏ OHIP Card
❏ Immunization Records ❏ Medication documentation
Should be Empty:

ELEMENTARY REGISTRATION FORM

Student Contact Information

PARENTS & GUARDIANS