Childcare Enrolment Form

Childcare Enrolment Form

Little Bees Early Learning Centre
Childs Information
Name

First NameLast Name
Age
Gender
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityProvince

Postal Code
Has this child attended a preschool or childcare facility in the past?

Other
What type of childcare are you interested in?
Parent(s)/Guardian(s) Information
Please list whom to contact about enrolment:
Major Medical Information or Disabilities

This is to make sure we can accommodate your Children safely.
Please give details on medical issues or disabilities:
Can this child take part in regular physical activities?
Do you want to indicate any related information?
Please fill out individual forms if registering more than one child!

You will recieve an email or phone call in the coming weeks with further information about your enrolment. Thank You!

***Any questions or concerns please feel free to reach out to Brittney Penney at littlebees.elc@gmail.com***
Should be Empty:

Childs Information