Student Registration Form

Student Registration Form
Registration Timestamp:

MonthDayYear
Date
Hour MinutesAM/PM Option
Registration Semester:
Family Status:
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.Format: (000) 000-0000.
Gender:
Date of Birth:

MonthDayYear
Date
Alberta Health Care Number:
Language(s) student speaks at home:
PARENT OR GUARDIAN #1 INFORMATION
Name

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cellular Telephone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Work Telephone Number:
Please enter a valid phone number.Format: (000) 000-0000.
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?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cellular Telephone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Work Telephone Number:
Please enter a valid phone number.Format: (000) 000-0000.
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.Format: (000) 000-0000.
Relationship to Student

Other
STUDENT HEALTH INFORMATION
Has your child been immunized?
Does your child have any allergies?
Is your child taking medications on a regular basis, ie, epipen, insulin?
Does your child have any physical disabilities?
Does your child have any medical issues?
Is there any other important health information we should know?
Mental health concerns, behavioural issues, formal diagnoses, speech/language struggles, etc.
Additional Health Information:
Does your child have any known allergen(s) or suffers allergic reactions?
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 2026/27 PROGRAMMING

3 Year Preschool Program
- Student MUST turn 3 years old by December 31, 2026.
4 Year Junior Kindergarten Program
- Student MUST turn 4 years old by December 31, 2026.
Student Registration for:
First Class Choice (3 Year Program):
Second Class Choice (3 Year Program):
First Class Choice (4 Year Program):
Second Class Choice (4 Year Program):
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?
Board Member Positions (select all that interest):

Other
Are you interested volunteering at Special Events?
Special Events (select all that interest):

Other
STATISTICS

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

Other
How did you find us?

Other
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.
HANDBOOK POLICIES ACKNOWLEDGEMENT

A complete copy of our School Handbook is available on our website in reference to the following policies and procedures.
REGISTRATION DEPOSIT

My Products

Non-Refundable Deposit

The deposit is a non-refundable fee paid to secure your child's spot.

$105.00 CAD Quantity
Item subtotal:

Total

Credit Card

Signature of Parent or Guardian:
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

HANDBOOK POLICIES ACKNOWLEDGEMENT

REGISTRATION DEPOSIT

My Products*

Credit Card

My Products