Clear Form

☐ 2021-2022
☐ 2022-2023
☐ Toddler (18-36m) Two Half Days: Th & F (8:45-11:45 am)
☐ Toddler (18-36m) Two Full Days: Th & F (8:45-3:00 pm)
☐ Toddler (18-36m) Three Half Days: M, Tu & W (8:45-11:45 am)
☐ Toddler (18-36m) Three Full Days: M,Tu & W (8:45-3:00 pm)
☐ Toddler (18-36m) Five Half Days (8:45-11:45 am)
☐ Toddler (18-36m) Five Full Days (8:45-3:00 pm)
☐ Primary 1st year (3yo) Half Day (8:45-11:45 am)
☐ Primary 1st year (3yo) Full Day (8:15-2:40 pm)
☐ Primary 2nd year (4yo) Half Day (8:45-11:45 am)
☐ Primary 2nd year (4yo) Full Day (8:15-2:40 pm)
☐ Kindergarten (8:30-2:50 pm)
☐ Elementary (1st-6th Grade)
☐ Middle School (7th & 8th Grade)
☐ Infant Program
Schedule
Please list any allergies or health problems your child has. If none please write "none".
☐ M
☐ F

Parent / Guardian 1

Parent / Guardian 2

Background information

Please list every school that your child has attended
What are your educational goals for your child? How do you see us facilitating these goals?
What role can we expect the child's parent(s)/guardian(s) to play in facilitating this child's educational goals?
Does your child have any hobbies, sports, or special interests, capabilities or talents?
How do you see your child in their social and emotional development?
Please describe your child's educational experience thus far. What has been successful? What has been challenging?
Does your child have any special needs (educational, medical, or psychological)? Has your child received any testing or evaluations that would relate to their academic or social performance? Please have copies sent of tests or evaluations that your child has taken.
Are there any areas in which we may be able to give special help and encouragement to your child?

Non-Discrimination Policy

We value diversity among our students. We do not discriminate in our enrollment policies on the basis of race, color, gender, religion, sexual orientation, national or ethnic origin.

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