Mother Goose Playschool Registration Form

  • Mother Goose Playschool Registration Form

    3 & 4 Year Old programs
  • Please Select your Preferred Session*
  • Student's Gender*
  • Do you receive Text at this number?*
  • Do you receive Text at this number?*

  • Child pick-up Authorization:

    Names of Parent(s) and/or person(s)authorized to sign your child in and out of our care.

  • Emergency Contact Information:

    Who we should contact in case of emergency, DURING PROGRAM HOURS when parents/guardians are not available? Please list at least TWO contacts.
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  • Please click yes if you WILL give permission to have photographs of your child taken*

  • Your signature (parent/guardian) will indicate approval for the above named child to:

    1.       Receive a class list including your child's personal information.

    2.        Be photographed by the media, approved community organizations, and Mother Goose Playschool staff and parents.

    3.        Be interviewed by the media, approved community organizations, and Mother Goose Playschool.

    4.        Have student work displayed, recognized, or reproduced inside and outside of the playschool. Information relating to this student's work will be communicated to the home in advance if outside of playschool.

    5.        Photo's of our day to day activities and field trips posted to our Facebook Page(s).

  • Medical Information

    If answered YES to any of the below please provide us with a bit more information please.
  • Immunization are up-to-date?
  • Is your child on long-term medications?
  • Does your child have any Drug Allergies?
  • Does your child have any Food Allergies?
  • Does you child have Special Needs?
  • Is your child prone to any of the following?

  • In the event of an emergency, when my child may need first aid or transportation to a medical facility, I give my permission for first aid to be given or for such transportation to take place.

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    PLAYSCHOOL FEES

     

    The registration fee is required at the time of registration and is non-refundable. The registration fee for ALL students, regardless of the number of days per week they attend Playschool is $100.00. Post-dated tuition cheques payable to Lacombe Mother Goose Playschool are due at the Annual General Meeting.                                   

     

    NSF Cheques:

    There is an additional fee of $20.00 for each dishonored cheque.  Payment must be received directly by the Treasurer within five days of notification. After two NSF cheques, a child’s enrollment could be jeopardized.

    No child will be registered if there are unpaid fees relating to the attendance of a previous sibling. Registration shall only be accepted after the past due account has been paid and the registering child’s fees have been paid in full (cash only).

     

    WITHDRAWING CHILDREN

    Notice to withdraw your child from Playschool must be provided in writing to the Director. 

    Any child who withdraws before the first of the month will be refunded all subsequent month’s tuition.  If a child is withdrawn before the middle of the month you will be refunded one half of the monthly tuition and all subsequent months remaining. If the withdrawal occurs past the middle of the month, none of the current month’s fee will be refunded, only the subsequent month’s remaining.

  • I have received and read the Discipline Policy (page 3 of the Parent Handbook) of the program.
     

  • How did you find us?*
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            Total $0.00CAD

          • E-Transfers to be sent to lmgoose@telus.net please. Please provide Childs LAST NAME in memo.

             

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