Claresholm Alberta Playschool

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Ready to Join Our Playschool?

Before registering, please make sure your child:

Will be 3 years old by September 1st
Is potty trained

If your child meets these requirements, please continue to registration.

Continue to Registration

We can’t wait to meet you!

Online Registration

First Name

Last Name

Physical Address

PO Box

Town

Postal Code

Phone Number

Cell

Parent 2 First Name

Parent 2 Last Name

Parent 2 Physical Address

Parent 2 PO Box

Parent 2 Town

Parent 2 Postal Code

Parent 2 Phone Number

Parent 2 Cell

Parent 2 Email

First Name

Last Name

Physical Address

Birthdate

Age at School Start

Requested class placement

Class Choice

Monday/Wednesday Class Tuesday/Thursday Class Monday/Wednesday/Friday Class Tuesday/Thursday/Friday Class

If an afternoon class became available would this be something that you would be interested in?

Afternoon Class

Yes No

This selection is not a guarantee of class placement. Classes fill up on a first come basis. If your requested class is full we will contact you with another option.

In case of an emergency during Playschool if you can’t be reached. Please list someone in Claresholm that is NOT a parent or guardian.

First Name

Last Name

Physical Address

Town

Postal Code

Phone Number

Cell

Relationship to Child

Is your child’s immunization record up to date?

Yes No

If "No", please aknowledge

If no please agree: “I am aware of the potential risks of not immunizing my child and assume full responsibility for my child.”

Does your child have any allergies or recurring medical problems (asthma, bronchitis, etc.)?

Does your child take any prescribed medication regularly? If so, please list.

Does your child have any special needs?

Is your child receiving speech therapy at this time?

Yes No

Do you have concerns about your child’s speech and/or language development?

Yes No

In an emergency, after all reasonable attempts have been made to contact the parents and alternate contact, a doctor will be notified and the child taken to the hospital (if warranted) either by car or ambulance. “I give my permission to the Playschool to obtain whatever emergency medical care they feel is necessary for my child.”

Emergency Treatment

I agree I disagree

Do you permit the publication of your child’s work, picture and name? (For example, in the Claresholm Local Press, on our website)

Publication Permission

I agree I disagree

By Clicking Submit you acknowledge that the information provided is true and correct.

After receipt of this registration form you will be sent an invoice for the non-refundable registration fee of $50 (This covers processing fees and your photos for the year).

LEASE DO NOT PAY YOUR REGISTRATION FEE UNTIL AFTER YOU HAVE RECEIVED THIS INVOICE

Once that invoice is received and paid in full your registration will be complete.

Your class spot cannot be guaranteed or reserved until registration is complete.