Scribd
Upload
102 views2 pages

EPC Registration Form

This registration form collects contact and health information for a child joining Eaglesham Playschool Club. It requests the child's name, date of birth, address, health card number, allergies, and emergency physician contact details. Parent/guardian names, addresses, phone numbers, emails, and preferred methods of contact are also collected. The form outlines responsibilities of parents, including paying fees, attending meetings, volunteering in the classroom, providing snacks, keeping sick children home, volunteering for committees, fundraising, and facility upkeep duties. Parents must sign agreeing to meet these requirements.

Uploaded by

Erika Duvall
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
102 views2 pages

EPC Registration Form

This registration form collects contact and health information for a child joining Eaglesham Playschool Club. It requests the child's name, date of birth, address, health card number, allergies, and emergency physician contact details. Parent/guardian names, addresses, phone numbers, emails, and preferred methods of contact are also collected. The form outlines responsibilities of parents, including paying fees, attending meetings, volunteering in the classroom, providing snacks, keeping sick children home, volunteering for committees, fundraising, and facility upkeep duties. Parents must sign agreeing to meet these requirements.

Uploaded by

Erika Duvall
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

Eaglesham Playschool Club

Registration Form
Welcome to Eaglesham Playschool Club! Please complete this form so that we can learn some basic
information about you.

Child’s Information:
Last Name: First Name: M.I.:
Date of Birth: Sex: M F
MM/DD/YYYY
Address:
Address City Province Postal Code
Telephone (Home):

Parent/Guardian Information: Please provide information for at least two people


Last Name: First Name:
Relationship to child:
Address (if different than child):

Address City Province Postal Code

Phone:
Home Work Cell
Are you able to send and receive text messages from cell # provided: Y N
Email: @ .
Your preferred method/best number to reach you:

Last Name: First Name:


Relationship to child:
Address (if different than child):

Address City Province Postal Code

Phone:
Home Work Cell
Are you able to send and receive text messages from cell # provided: Y N
Email: @ .
Your preferred method/best number to reach you:
Health Information:
Physician’s Name: Phone #:
Alberta Health Card #:
Allergies/Medical Conditions:

Emergency Contact Information: (Other than Parent/Guardian listed previously)


Last Name: First Name:
Relationship to child:
Cell or Daytime Phone #:

Contacts: (Please list any other contacts that may pick-up or drop-off your child in the absence of the
parent/guardian/emergency contact listed on this form.)
Last Name: First Name:
Relationship to child:
Cell or Daytime Phone #:

Last Name: First Name:


Relationship to child:
Cell or Daytime Phone #:

Last Name: First Name:


Relationship to child:
Cell or Daytime Phone #:

Agreement Between Parent(s)/Guardian(s) and Eaglesham Playschool Club


I (we) understand that this is a parent participation preschool coordinated by the Eaglesham Playschool
Club. I (we) further understand that the main purpose of this program is to provide a positive environment
in which a wide variety of play experiences will be made available to our children and that the preschool’s
success depends upon the participation and sharing of responsibilities by all families.

As a parent/guardian of a child registered in Eaglesham Playschool Club, I (we) agree to fulfill our
participation and responsibilities in the following ways:
• Pay required fees: $20 registration fee + $500 tuition fee ($520)
• Attend at least 1 parent/teacher meeting to discuss progress of child
• Work in the classroom as an assistant on my assigned days and take responsibility for providing a
trained substitute when necessary (will be determined by teacher)
• Provide a nutritious snack for my child (or class if required)
• Keep my child at home if there are signs of any communicable disease
• Volunteer for a board or committee position
• Participate in fundraising according to school guidelines
• Fulfill duties assigned equally to all for the upkeep of the school facilities

By signing the portion below, I (we) am willing to meet the above requirements of Eaglesham
Playschool Club:

Parent/Guardian Date

You might also like