Smart PDF Form

OSC Registration Form
13510 Dovercourt Avenue NW, Edmonton, AB T5L 4Y1
info@littlebeeacademy.ca / 587-709-0660

Please complete this form and email it to info@littlebeeacademy.ca
School Information: Grade:
Kindergarten Half DayKindergarten Full Day
School Name:
School Address:
Child's Name (first, last):

FirstLast
Child's Home Phone:
Format: (000) 000-0000.
Child's Birthday:

MonthDayYear
Month/Date/Year
MaleFemale
Child's Address (inc city, province, postal code):
Parent/Guardian #1 Name (first, last):

FirstLast
Parent/Guardian #1 Home Phone:
Format: (000) 000-0000.
Parent/Guardian #1 Cell Phone:
Format: (000) 000-0000.
Parent/Guardian #1 Work Phone:
Format: (000) 000-0000.
Parent/Guardian #1 Email:
example@example.com
Parent/Guardian #1 Address (inc. city, province postal code):
Parent/Guardian #2 Name (first, last):

FirstLast
Parent/Guardian #2 Home Phone:
Format: (000) 000-0000.
Parent/Guardian #1 Cell Phone:
Format: (000) 000-0000.
Parent/Guardian #2 Work Phone:
Format: (000) 000-0000.
Parent/Guardian #2 Email:
example@example.com
Parent/Guardian #2 Address (inc. city, province, postal code):
YesNo
If yes, please explain your child's allergy/diet restrictions:

Getting to know you

Out of school care
Please complete this form and email it to info@littlebeeacademy.ca
Child's Name (first, last):
First, Last name
Child's DOB:

MonthDayYear
Date
What foods does your child love?
What foods does your child dislike?
Any special dietary restrictions?
Favourite toys games or activities?
YesNo
If so, please explain?
How does your child express large emotions? Do they have any regulation skills they use?
Is your child afraid or worried about anything specific?
Any specific family situations that we can help you with?
Are you anticipating any transition or adjustment problems?
Any developmental delays, or diagnoses we should know about?
Are there any behaviours that we should be aware of?
Does your child have a favourite school subject?
Does your child have any school subjects that they struggle with?
If you are comfortable, please tell us about any spiritual, or cultural information about your family:
We look forward to spending time with your child and being their
co-learners, co-researchers, and co-imaginers at the Academy!
Should be Empty:

OSC Registration Form