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  • OSC Registration Form

  • Sherbrooke Location: 13008 112 Avenue NW, Edmonton, T5L 1M8
    Dovercourt Location: 13510 Dovercourt Avenue NW, Edmonton, T5L 4Y1

    info@littlebeeacademy.ca / 587-709-0660

    Please complete this form and email it to info@littlebeeacademy.ca

  • Please indicate which centre you want to register for:
  • Desired Start Date
     - -
  • Format: (000) 000-0000.
  • Child's Birthday:
     - -
  • Gender:
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Health #1: Does your child have any allergies or dietary restrictions?

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  • Health #2: Does your child have any disability, disease, medical condition or other issue(s) including a diagnosis or features consistent with attention deficit hyperactivity disorder that you feel we should know about?
  • Health #3: Is your child taking any ongoing medication?
  • Health #4: Are your child's immunizations up to date?
  • Please use an individual NOT listed as a parent or guardian
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

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  • RELEASE OF CHILD: Is there any person to whom your child MUST NOT be released? Please email a photo of this person along with detailed information of the situation to info@littlebeeacademy.ca Please note that your registration will not be considered complete until we receive this information?
  • EMERGENCY PERMISSIONS: In case of emergency, I grant permission to Jennifer Senoga/Little Bee Academy certified staff to take whatever steps may be deemed necessary to administer emergency first aid and/or obtain medical care for my child. I agree to cover the cost of an ambulance if one is deemed to be required.
  • USE OF FACILITY PERMISSION: I grant permission for my child, to leave the Little Bee Academy classrooms and program grounds into the Sherbrooke neighbourhood (118 Avenue to Yellowhead Trail and 127 Street and St. Albert Trail) to access school playgrounds at St. Pius School and Sherbrooke Community League park under the supervision of Jennifer Senoga/Little Bee Academy certified staff.
  • PHOTO USAGE: I grant permission for Jennifer Senoga/Little Bee Academy certified staff to take photos of my child, and post those photos in the classrooms of Little Bee Academy.
  • PERMISSIONS: The information you provide on this Registration Form will be made available to Jennifer Senoga/ Little Bee Academy certified staff. We also publish, from time to time, a class list for each program, including your child's name and home number as well as your first name(s) and email address. Parents find the class list helps them learn each other's names and enables them to get together socially.
  • By signing, you are consenting to Little Bee Learning Academy to have and use this information for operational and administrative purposes.
  • Date:
     - -
  • Date:
     - -

  • Getting to know you

    Out of school care

  • Please complete this form and email it to info@littlebeeacademy.ca

  • Child's DOB:
     - -
  • Does Your child require any help in the washroom?

  • We look forward to spending time with your child and being their
    co-learners, co-researchers, and co-imaginers at the Academy!

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