Orange Seeds Application Form

🌟 Welcome to the Application Form for Orange Seeds Montessori London! 🌟

Before you begin, we strongly recommend reviewing our comprehensive Parent Handbook for important details.

Please be aware that our enrollment operates on a first-come, first-served basis with limited availability. Once all slots are filled, subsequent submissions will be placed on our waiting list.

If you have any questions or need further assistance regarding our admission process, please don't hesitate to contact our dedicated admissions team at admissions@orangeseeds.ca or via phone at (437) 776-7227.

We sincerely appreciate your consideration of Orange Seeds Montessori Centre. Let's embark on this journey together! 🏫🌱

Expected Start Date

MonthDayYear

Expected Departure Date

MonthDayYear

Which class would you like to register for?*

Which schedule would you like to register for?*

First Name*

Last Name*

Gender*

FemaleMale

Birth Date*

Date

Home Phone*

Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry

OHIP #

Doctors Name

First NameLast Name

Doctors Phone Number

Please upload your child's birth certificate*

Browse Files

Full Name*

First NameLast Name

Home Phone*

Cell Phone*

Work Phone

E-mail*

Occupation*

Address - Same As Child*

YesNo

If your address is different than the childs please fill out the info below. Otherwise move onto the next section.

Parent/Guardian 1 Address

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry

Full Name*

First NameLast Name

Home Phone*

Cell Phone*

Work Phone

E-mail*

Occupation*

Address - Same As Childs

YesNo

If your address is different than the childs please fill out the info below. Otherwise move onto the next section.

Address

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry

Is your child immunized?*

YesNo

Please upload a clear and legible copy of the front and back pages of your child's immunization records. *

Browse Files

If you child is not immunized, you should upload Statement of Conscience or Religious Belief for Child Care and Early Years Act, 2014 compliance

Does your child have any allergies?*

YesNo

Does your child require EPIPEN?*

YesNo

If yes please list, including any food or drug allergies.

Does your child have any medical conditions? If yes, please explain.*

Please list any medical conditions your child has. If your child does not have any medical conditions, please write 'NA' in the space provided.

Does your child require any medication? If yes, please list these medications.*

Please list any medications your child is currently taking. If your child does not take any medication, please write 'NA' in the space provided.

Does your child have any dietary restrictions? If yes, please explain.*

Application Form

Tell us About Your Plans

Child Information

Parent/Guardian Information 1

Parent/Guardian Information 2

Medical Information

Emergency Contact - Other than Parent/Guardian

People Authorized to Pick up Your Child

Tell us More About Your Child

Parent Statement

How did You Hear About Orange Seeds Montessori Centre?