Registration form | Lakeview Community Preschool

Learn more about our class

Program

3 year old

4 year old

Preference

Student information

First name

Middle name

Last name

Date of birth

Male

Female

Street Address

City

Postal / Zip code

Parent email for preschool communication

Parent phone for preschool communication

Parent 1 information

First name

Cell phone (no dashes/brackets)

Last name

Business phone (no dashes)

Home address (if same as student, write same)

City

Postal

Occupation (let us know for career day opportunities)

Parent 2 information

First name

Last name

Cell phone (no dashes/brackets)

Home address (if same as student, write same)

City

Postal

Occupation (let us know for career day opportunities)

Emergency contact (not a parent)

First name

Last name

Relationship

Cell phone (no dashes/brackets)

Business/Other phone (no dashes/brackets)

Home address

Student doctor's name

Student doctor's phone

Student Alberta Health Care #