Registration
Register your child for our school by providing the required information below.
Child's Full Name
*
First Name
Last Name
Likes to Be Called
Child's Date of Birth
*
-
Month
-
Day
Year
Date
Child's Gender
*
Male
Female
Other
Child's Primary Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Program Selection
*
Toddler
Preschool
Days Attending
*
Monday - Friday (5 Days)
Monday / Wednesday / Friday (3 Days)
Tuesday / Thursday (2 Days)
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PARENT / GUARDIAN INFORMATION
Parent/Guardian 1: Full Name
*
First Name
Last Name
Relationship to Child
*
Parent/Guardian 1: Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 1: Work Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 1: Email Address
*
example@example.com
Parent/Guardian 2: Full Name
First Name
Last Name
Relationship to Child
Parent/Guardian 2: Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 2: Work Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 2: Email Address
example@example.com
Parent/Guardian 2: Home Address (if different from Child's)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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EMERGENCY CONTACTS
Two contacts are required; must be different from parents.
Person 1: Name
*
First Name
Last Name
Person 1: Relationship to Child
*
Person 1: Phone Number
*
-
Area Code
Phone Number
Person 1: Email
example@example.com
Person 2: Name
*
First Name
Last Name
Person 2: Relationship to Child
*
Person 2: Phone Number
*
-
Area Code
Phone Number
Person 2: Email
example@example.com
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AUTHORIZED PICK-UP PERSONS
At least 1 required.
Person 1: Name
*
First Name
Last Name
Person 1: Phone Number
*
-
Area Code
Phone Number
Person 1: Relationship to Child
*
Person 2: Name
First Name
Last Name
Person 2: Phone Number
-
Area Code
Phone Number
Person 2: Relationship to Child
Person 3: Name
First Name
Last Name
Person 3: Phone Number
-
Area Code
Phone Number
Person 3: Relationship to Child
Person 4: Name
First Name
Last Name
Person 4: Phone Number
-
Area Code
Phone Number
Person 4: Relationship to Child
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MEDICAL INFORMATION
Child’s Physician
Physician's Phone Number
-
Area Code
Phone Number
Does your child have allergies?
*
Yes
No
Please list the allergies:
*
Does your child require an EpiPen or emergency medication?
*
Yes
No
Has your child suffered from or currently has any of the following:
*
Asthma
Chronic Colds
Chronic Ear Infections/ Ear Tubes
Tonsilitis
Hay Fever
Skin Sensitivity
Sun Reacions
Warts
Dairy Issues or Lactose Intolerant
Constipation
Mood Swings
Sleep Issues
Tics
Diabetes
Stuttering
None of the Above
Other
Does your child take medication on a regular basis?
*
Yes
No
Please specify what medication your child takes and when it is given.
*
Does your child have any cultural or dietary needs?
*
Yes
No
Please specify.
*
DEVELOPMENTAL HISTORY
Does your child have a physical developmental delay?
*
Yes
No
Please specify.
*
Does your child have a language or speech delay?
*
Yes
No
Please specify.
*
Has your child accessed Early Intervention services?
*
Yes
No
Please provide more details.
*
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DOCUMENT UPLOADS
Please upload the following documents. If your child has an allergy, or medical need, the medical care plan and allergy/anaphylaxis plan are both required.
Child's immunization records and/or vaccination exemption forms.
*
Upload files
Cancel
of
Medical Care Plan
Upload files
Cancel
of
Allergy/anaphylaxis plan
Upload files
Cancel
of
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CONSENTS & POLICY ACKNOWLEDGEMENTS
Please review our Parent Handbook for all our school policies.
Click here to review.
Emergency Consent
*
I authorize St. Andrew’s Co-op Playschool staff to take necessary emergency actions including administering emergency medication (if provided), contacting emergency services (911), and transporting my child to hospital if required
I authorize consent to photos/videos of my child being used for school communication, social media, or advertising.
*
Yes
No
I authorize consent to photos of my child being used for the school yearbook. If no, please note your child will not appear in the yearbook.
*
Yes
No
Safe Arrival & Dismissal Policy Acknowledgement
*
I understand and agree to the school’s safe arrival and dismissal procedures, including sign-in/sign-out requirements and authorized pick-up rules.
Late Pickup Policy Acknowledgement
*
I understand late pick-up policies and associated fees.
Emergency Closure / Weather Policy Acknowledgement
*
I understand school closure policies, including inclement weather and emergencies.
Illness Policy Acknowledgement
*
I agree to keep my child home when they are ill, as outlined in the illness policy.
Anaphylaxis Acknowledgement
*
I agree to provide an up-to-date anaphylaxis plan and required medication if my child has a life-threatening allergy.
Immunization Policy Acknowledgement
*
I understand that an up-to-date immunization record or valid exemption must be provided prior to attendance.
Withdrawal Acknowledgement
*
I understand 30 days notice is required for withdrawal.
Payment Acknowledgement
*
I acknowledge that school fees are due one month in advance and agree to submit payment via online payment or e-transfer.
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DECLARATION
Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Signature
*
Submit
Submit
Should be Empty: