GUC PLAYSCHOOL Registration 2025-2026

School Schedule

START day- Monday, September 08th, 2025

LAST day- Friday, June 11th, 2026

School holidays followed

Child's Information

First Name*

Middle

Last Name*

Preferred Name (nickname):

Street Address Line 1*

Street Address Line 2

City*

Prov.*

Postal Code*

Date of Birth*

Date

Gender:*

FemaleMale

Parent/Guardian Information

Parent/Guardian 1

Parent/Guardian Name*

Phone Number*

Area CodePhone Number

Relationship to Child*

Email Address*

Place of Work/Employer*

Street Address (if different than above)

City

Prov.

Postal Code

Parent/Guardian 2

Parent/Guardian Name

Phone Number

Area CodePhone Number

Relationship to Child

Email Address

example@example.com

Place of Work/Employer

Street Address (if different than above)

City

Prov.

Postal Code

Child lives with....*

Both parentsOne parentGuardian(s)Other

Please list names and ages of other siblings (if applicable):

Class Choices 9:15 a.m. - 11:30 or 12:30 p.m. - 2:45

Additional Comments or Questions regarding programming.

Options available for 2 day/week 3 year old programming- contact Lori @ 780.808.0959 for more information.

*Minimum of 7 children/playschool class required to operate a class.

$100.00 deposit due at registration to guarantee child's placement in the 1 day program.

$200.00 deposit due for 2 day program.

$300.00 deposit due for 3 day program.

$50.00 Administration fee CHARGED on ALL refunds. No refunds issued after July 1, 2025.

Deposit payments are accepted by:

Cash, e-Transfer, or Cheque payable to GUC Playschool.

ETRANSFER- gucplayschool@gmail.com

PLEASE ADD NAME OF CHILD IN MEMO of cheque or e-transfer

AFFORDABILITY GOVERNMENT GRANT for ALL PLAYSCHOOL STUDENTS

pays $100.00/month/student or $1000.00/year

ONE DAY per WEEK payment options

Deposit to secure playschool spot - $100.00 Due on registration

TWO DAY per WEEK payment options

Deposit to secure playschool spot - $200.00 Due on registrationSemester Payment ($375.00 X 2) Payments due the beginning of September and FebruaryMonthly payment ($75.00 X 10) Payments due the beginning of every month - Sept. - June

THREE DAY per WEEK payment options

Deposit to secure playschool spot - $300.00 Due on registrationSemester Payment (750.00 X 2) Payments due the beginning of September and FebruaryMonthly Payment ($150.00 X 10) Payments due the beginning of every month - Sept. - June

How will you be paying for the Deposit to secure your registration?

How will you pay for the Playschool program throughout the year?

Emergency Contact #1 - Other than Parent

First Name*

Last Name*

Relationship to Child*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Primary Phone Number*

Area CodePhone Number

Secondary Phone Number

Area CodePhone Number

Emergency Contact #2 -Other than Parent

First Name*

Last Name*

Relationship to Child*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Primary Phone Number*

Area CodePhone Number

Secondary Phone Number

Area CodePhone Number

Indivduals OTHER THAN PARENT /Guardians authorized to pick up child from playschool:

Individual #1

First name*

Last name*

Relationship to Child*

Individual #2

First name*

Last name*

Relationship to Child*

Please inform instructor if someone who is not listed above will be picking up your child.

What are 3 words that describe your child?

1:*

2:*

3:*

What are 3 things that you hope your child will get out of playschool?

1:*

2:*

3:*

Is there anything we should know about your child's development? If there are concerns, is your child seeing anyone in regard to these concerns?*

Do you have any custody arrangements that the GUC Playschool should be made aware of ?

Medical Information

Child's Health Care Number (AB/SK)*

Doctor Name*

Clinic Name*

Phone Number*

Immunizations up to date

Is your child on any regular medication? If yes, please list the medications and what they are used for. *

Please list any of the following: medication allergies, food allergies, or chronic health concerns.

Please inform the office/instructor of any other vital information he/she may need to know in the event of an emergency.

In the event of an emergency, such as sudden illness or accident, the GUC Playschool Society personnel has permission to call an ambulance or doctor. I understand any financial obligations resulting from this will be my responsibility.

Signature*

The GUC Playschool Society personnel has permission to take my child's photograph. I understand that photos taken at school may be posted in the school, used for crafts, used in the media (newspaper) and/or on social media (Facebook/website).

Signature*

The GUC Playschool Society personnel has permission to take my child to activities off the premises of the Grace United Church. I understand these off the premises activities will be communicated to me via monthly newsletters or face to face communication and will include field trips and outside park play.

Today's Date*

Signature

GUC Playschool Registration 2025-2026