Season 19 - Xplor Fine Arts Preschool Registration

Xplor Fine Arts Preschool - Season 19

2024/2025 Season
Student Information
Child Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender*
Please Attach a Picture (Waist up), of your child.

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Medical Information
Child's Family Doctor*

NamePhone Number
Child's Care Card Number*
Immunizations*
Allergies (Indicate N/A if not Applicable)*
Please Indicate All Ingested & Environmental Allergies
Allergy Treatment
Please Indicate Treatment for Allergy (If Needed)
Is Your Child on Regular Medications?
If Yes - Please Indicate What Medication & What Medical Condition Is Being Treated.
Medication, Care Plans and Special Needs

If your child is on medication that requires staff of Xplor Fine Arts to administer during childcare hours, you will need to sign a Care Plan/Medication Administration Form. All Medications must be in the original packaging and have the child's name listed.
Does your child Need Medication During Care?

YesNo
Additional Student Information
Are There Any Foods You Do Not Want your Child to Eat? *
Please list and describe any concerns you may regarding your Child's Development.*
Does your Child have any Special Needs or Behaviours to be aware of? If Yes, Please Indicate any specific care instructions needed.*
Additional Comments

Family Information
Child Resides *
Parent/Guardian 1 Information*

First NameLast Name
Address*

Street Address

Unit/Suite

CityProvince

Postal Code
Phone Number*
Please enter a valid phone number.
E-Mail*
Workplace*
Workplace Phone Number*
Please enter a valid phone number.
Facebook
Parent/Guardian 2 Information

First NameLast Name
Address

Street Address

Unit/Suite

CityProvince

Postal Code
Phone Number
Please enter a valid phone number.
E-Mail
Workplace
Workplace Phone Number
Please enter a valid phone number.
Facebook

Additional Authorized Pick-Up Contacts
#1 Name

First NameLast Name
Relationship To Student
Phone Number
Please enter a valid phone number.
#2 Name

First NameLast Name
Relationship To Student
Phone Number
Please enter a valid phone number.
People NOT PERMITTED to Pick-Up

*Please Note: Without a Court Order on file, we are unable to enforce
Name

First NameLast Name
Relationship To Student
Name

First NameLast Name
Relationship To Student
Court Order/Documents Upload

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Custody & Family/Court Orders
Do You have Any Custody or Family Orders in Place? If Yes, Please Supply a Copy.

YesNo
File Upload

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Media Consent

We regularly take photos and showcase our children on social media, studio posters and advertising outlets. We do need your consent to do this, and if you don't want us too - that's fine!
Do you consent to photos being taken and shared of your child?

Contracts

In Order to Finalize your Registration, Please complete the Following Contracts.
I First Name Last Name Have read the Xplor Fine Arts Handbook, and Completed the Registration Forms for my Son/Daughter First Name Last Name. I understand and accept the terms within the handbook and agree to the following policies therein.

The Business
1. I Understand that Xtreme Performing Arts Operates alongside Xtreme Talent Dance Company, and that my child will be accessing both businesses daily.
2. I understand my child will be part of 2 performances in December & June, and attendance is mandatory.
Registration and School Closure Days
1. I Understand that I am committing to a dance season, which runs during the school year from September-June. I acknowledge that this does not automatically reserve my space for the following season, and I must confirm my attendance for the next season by May 1st of each year and pay a non refundable deposit of $100.
2. I understand and acknowledge that Xplor Fine Arts Preschool does not run during SD34 School closures such as Pro-D Days, Winter Break, Spring Break and Summer.
The Finances
1. I Understand that each business has their own respective registration fees and my family must pay both fees. 1 fee to Xtreme Talent, and 1 fee to Xtreme Performing Arts.
2. I understand that all payments must be made on the 1st of the Month, for payable to Xtreme Performing Arts. This fee Includes 1 Dance Class for 3 Day/Week Students and Unlimited Dance for 5 Day/Week Academy Students
3. I Understand there is a $25 Late Fee Charge if I have not paid by the 1st.
4. I Understand that I am responsible for applying for Subsidy and that I must pay in full until this is approved. Once approved a credit will be applied to future months.
5. I understand There are additional fees Associated with my dance classes, such as costume deposits, t-shirt fees, competitive fees etc. that are not included in my daycare tuition.
Cancellation Policy
1. I agree to provide 30 days notice to cancel services/care.
2. I understand that if Xplor Fine Arts Preschool deems the program unsuitable for my child that they will allow 30 days notice of cancellation in order to search for alternate care. The only situation where 30 days notice may not be possible is if there are safety concerns for staff and/or students and immediate termination is required.
Date

MonthDayYear
Date
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Xplor Fine Arts Preschool - Season 19

Student Information

Medical Information

Medication, Care Plans and Special Needs

Additional Student Information

Family Information

Additional Authorized Pick-Up Contacts

People NOT PERMITTED to Pick-Up

Custody & Family/Court Orders

Media Consent

Contracts