Student Registration Form

Student Registration Form
Registration Timestamp:

MonthDayYear
Date
Hour MinutesAM/PM Option
Registration Semester:*

2025/26 School Year (September -June)Winter 2025 (January-June)
Family Status:*

CURRENT Bearspaw Preschool & JK FamilyALUMNI Bearspaw Preschool & JK FamilyNEW Bearspaw Preschool & JK Family
STUDENT INFORMATION
Student's Legal Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Telephone Number:*
Please enter a valid phone number.
Gender:*

MaleFemale
Date of Birth:*

MonthDayYear
Date
Alberta Health Care Number:
PARENT OR GUARDIAN #1 INFORMATION
Name*

First NameLast Name
Parent or Guardian 1 Address Same as Above?*

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Telephone Number*
Please enter a valid phone number.
Cellular Telephone Number:*
Please enter a valid phone number.
Work Telephone Number:
Please enter a valid phone number.
Primary Email Address:*
Preschool correspondence and teacher weekly emails will be sent here.
PARENT OR GUARDIAN #2 INFORMATION

Information is not mandatory but recommended
Name

First NameLast Name
Parent or Guardian 2 Address Same as Above?

YesNo
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Telephone Number
Please enter a valid phone number.
Cellular Telephone Number:
Please enter a valid phone number.
Work Telephone Number:
Please enter a valid phone number.
Primary Email Address:
Preschool correspondence and teacher weekly emails will be sent here.
ALTERNATE (EMERGENCY) CONTACT INFORMATION

In the event parent 1 or parent 2 cannot be reached
Name:*

First NameLast Name
Phone Number:*
Please enter a valid phone number.
Relationship to Student*

GrandparentRelativeFamily FriendNeighbourNanny/SitterOther
STUDENT HEALTH INFORMATION
Has your child been immunized?*

YesNo
Does your child have any allergies?*

YesNo
Is your child taking medications on a regular basis, ie, epipen, insulin?*

YesNo
Does your child have any physical disabilities?*

YesNo
Does your child have any medical issues?*

YesNo
Is there any other important health information we should know?*
Additional Health Information:*
Does your child have any known allergen(s) or suffers allergic reactions?*

YesNo
What is the known cause of the allergic reaction?
ie, nuts, animal fur, tree pollen, peanuts, eggs, milk, etc.
Allergen/allergic reaction symptoms?
ie, swelling, redness, tingling, itchiness, anaphylaxis, etc.
Allergen/allergic reaction treatment procedure?
ie, epipen
PROGRAMMING SELECTION

Spots are filled upon a "first come, first served" basis and the Board will do their best to accommodate your requested time and teacher preferences while ensuring it aligns with current enrolment numbers and program offerings.
MINIMUM AGE ELIGIBILITY FOR 2025/26 PROGRAMMING

3 Year Preschool Program
- Student MUST turn 3 years old by December 31, 2025.
4 Year Junior Kindergarten Program
- Student MUST turn 4 years old by December 31, 2025.
Student Registration for:

3 Year Preschool Program4 Year Junior Kindergarten Program
First Class Choice (3 Year Program):

3AM Mrs. Kuehn (Tu & Th 9am-11am)3AM Ms. Solecki (Tu & Th 9am-11am)3AM Any Teacher (Tu & Th 9am-11am)3PM Mrs. Kuehn (Tu & Th 12:30pm-2:30pm)3PM Ms. Solecki (Tu & Th 12:30pm-2:30pm)3PM Any Teacher (Tu & Th 12:30pm-2:30pm)
Second Class Choice (3 Year Program):

3AM Mrs. Kuehn (Tu & Th 9am-11am)3AM Ms. Solecki (Tu & Th 9am-11am)3AM Any Teacher (Tu & Th 9am-11am)3PM Mrs. Kuehn (Tu & Th 12:30pm-2:30pm)3PM Ms. Solecki (Tu & Th 12:30pm-2:30pm)3PM Any Teacher (Tu & Th 12:30pm-2:30pm)
First Class Choice (4 Year Program):

4AM Mrs. Kuehn (M, W & F 8:30am-11:30am)4AM Ms. Solecki (M, W & F 8:30am-11:30am)4AM Any Teacher (M, W & F 8:30am-11:30am)4PM Mrs. Kuehn (M, W & F 12:30am-3:25pm)4PM Ms. Solecki (M, W & F 12:30am-3:25pm)4PM Any Teacher (M, W & F 12:30am-3:25pm)
Second Class Choice (4 Year Program):

4AM Mrs. Kuehn (M, W & F 8:30am-11:30am)4AM Ms. Solecki (M, W & F 8:30am-11:30am)4AM Any Teacher (M, W & F 8:30am-11:30am)4PM Mrs. Kuehn (M, W & F 12:30am-3:25pm)4PM Ms. Solecki (M, W & F 12:30am-3:25pm)4PM Any Teacher (M, W & F 12:30am-3:25pm)
PARENT INVOLVEMENT
The Bearspaw Preschool Society is a nonprofit organization operated by a volunteer parent board. There is turnover each year in the board with students moving on to grade school. The board meets once and month as well, continuously work in the background completing various operational and administrative duties.

If being a board members is too time consuming, please consider volunteering your time at one of the special events held throughout the school year.
Are you interested in becoming a Parent Volunteer Board Member?*

YesNo
Board Member Positions (select all that interest):

PresidentVice PresidentTreasurerRegistrationCasinoSocial Media / WebsiteSecretaryMarketing / Events CoordinatorWebsite Hosting/Maintenance ExperienceOther
Are you interested volunteering at Special Events?*

YesNo
Special Events (select all that interest):

Art Gala (spring)Family Playdate (fall)Junior Kindergarten Graduation (spring)CasinoOther
STATISTICS

A few questions to help us better understand the demographics of our student population
Community:*

Bearspaw / rural Calgary (RVC)Lynx Ridge (RVC)Watermark (RVC)Rural CochraneCochraneTuscanyRocky RidgeRoyal OakValley RidgeScenic AcresArbour LakeCitadelNolan HillSage HillOther
How did you find us?*

Street SignBearspaw Lifestyle Centre Community BoardFlyer / Community bookletGoogleFacebook / Instagram / Social MediaFriend or Neighbour - Word of MouthOther
If you were referred by a friend please let us know who, so we can thank them!
MEDICAL EMERGENCY CONSENT
I (primary parent or guardian) First Name* Last Name* hereby do give do NOT give* authority for my child’s teacher to take the necessary steps to ensure that (student) First Name* Last Name* receives the care needed in any medical emergency. I also understand that I would be contacted immediately when any care is required. I am aware that, in the event that 911 is called and an ambulance is dispatched, I (the parent) will incur any related costs.
PERSONAL INFORMATION CONSENT
I (primary parent or guardian) First Name* Last Name* hereby give permission for the preschool to publish to NOT publish* my child’s full name and phone number for the purposes of providing class lists to currently enrolled families.
PHOTOGRAPHS CONSENT

We occasionally take pictures of the students in action with materials or doing other activities to distribute in our weekly parent emails and social media.
I (primary parent or guardian) First Name* Last Name* hereby give permission for the preschool do consent do NOT consent* to have photographs of my child taken.
Please verify that you are human*
Should be Empty:

Student Registration Form

STUDENT INFORMATION

PARENT OR GUARDIAN #1 INFORMATION

PARENT OR GUARDIAN #2 INFORMATION

ALTERNATE (EMERGENCY) CONTACT INFORMATION

STUDENT HEALTH INFORMATION

PROGRAMMING SELECTION

PARENT INVOLVEMENT

STATISTICS

MEDICAL EMERGENCY CONSENT

PERSONAL INFORMATION CONSENT

PHOTOGRAPHS CONSENT