Registration Details

Registrant Name *

Registrant Email *

Program Details

Program Information

Preferred Daycare Location *

Program *

Requested Admission Date *

Please select a plan for entrollment *

Program Questions

What is your current care situation (daycare, dayhome etc)? *

What school is/will your child be attending? *

If in Kindergarten are they AM, PM or Full Day? *

Will you be applying for government subsidy? *

Please indicate who will be paying your child's monthly fees? If you plan to split the payment between more then one party, then please indicate below and explain how the payment of fees is to be divided. *

Does your child nap during the day? *

Guardian Details

Guardian 1 Information

First Name *

Last Name *

Relationship Type

Address same as Child

Address 1 *

Address 2

City *

Province/State *

Postal Code/Zip *

Home Phone *

Daytime Phone *

Cell Phone

Email *

Confirm Email *

Guardian 1 Employer Information

Occupation *

Daytime Address *

Daytime City *

Daytime Province/State *

Daytime Postal Code/Zip *

Guardian 2 Information

First Name *

Last Name *

Relationship Type

Address same as Child

Address 1 *

Address 2

City *

Province/State *

Postal Code/Zip *

Home Phone *

Daytime Phone *

Cell Phone

Email *

Confirm Email *

Guardian 2 Employer Information

Occupation *

Daytime Address *

Daytime City *

Daytime Province/State *

Daytime Postal Code/Zip *

Contact Details

Contact Information 1

We require two Emergency Contacts whom are authorized to pick up in the event that we are unable to reach either of the child's Parents/Guardians. Please provide the information for such contacts below.

First Name *

Last Name *

Relationship Type

Address 1 *

Address 2

City *

Province/State *

Postal Code/Zip *

Home Phone *

Daytime Phone *

Cell Phone

Email *

Confirm Email *

Contact Information 2

First Name *

Last Name

Relationship Type

Address 1 *

Address 2

City *

Province/State

Postal Code/Zip *

Home Phone *

Daytime Phone *

Cell Phone

Email *

Confirm Email *

I agree to have Airdrie daycare to contact me via phone and email.

I agree to have this registration as my approval for enrollment.

Airdrie Daycare Centres

Registration Details

Program Details

Program Information

Program Questions

Student Details

Student Information

Address Information

Extra Information

Allergy Information

Medical Conditions

Support and Instructions

Immunization Information

Guardian Details

Guardian 1 Information

Guardian 1 Employer Information

Guardian 2 Information

Guardian 2 Employer Information

Contact Details

Contact Information 1

Contact Information 2