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Kindergarten

2016-2017 Registration

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please be advised

This form will take apporximitly 10-20 minnutes to complete

You will be required to pay a non-refunable $150 registration fee

Registering Child's Information

* First Name:

* Last Name:

* Birthday:

* Age on Sep 1st:

Alberta Health Number:

Gender Male Female

* Address:

Address Line 2 (optional):

* City:

* Province:

* Postal / Zip Code: Your postal/zip code is not valid

* Country:

* This field is required

Parent/Guardian Inforamtion

* Parent/Guardian:

* Email: Your email is not valid

* Main Phone:

Secondary Phone:

Parent/Guardian:

Email: Your email is not valid

Main Phone:

Secondary Phone:

* Preferred family email: Your email is not valid

* This field is required

Emergency Contacts

In Case of Emergency, we will first attempt to contact both parents. If we cannot reach them, please provice the names and contact inforamtion of the next peple to contact

* Name:

* Phone:

* Relationship:

* Authorized to pick up child:

Yes No

* Name:

* Phone:

* Relationship:

* Authorized to pick up child:

Yes No

* This field is required

Program Selection

* French Immersion Junior Kingergarten (4 years old):

2 days / week (Tuesday & Thursday) $ 500 / month

3 days / week (Monday, Wednesday & Friday) $ 750 / month

5 days / week $ 1000 / month

5 days / week / AM (8:30-11:30) $ 600 / month

* French Immersion Kindergarten (5 years old):

5 days / week $ 1000 / month

* Extended service(s):

Extended morningss (7:00-8:30) $ 125 / month

Extended afternoons (3:30-6:00) $ 200 / month

Extended days (AM & PM) JK 2 days $ 150 / month

Extended days (AM & PM) JK 3 days $ 200 / month

None

* This field is required

Health Information

* Does your child have any allergies (food or enviromental)?:

Yes No

* Does your child have any allergies (food or enviromental)?:

* Does your child require medication (epipen or other)?:

Yes No

* Does your child require medication (epipen or other)?:

* Does your child require any special accommodations?:

Yes No

* Does your child require any special accommodations?:

* Is your child up to date with immunization?:

Yes No

* This field is required

Educational Experience

* Is this your child's first educational experience?

Yes No

Please describe your child's previous experience in terms of preschool, daycare, etc.

* Which languages are spoken at home?

* Which languages does your child speak?

* Which languages does your child understand?

Please indicate if you have any concerns about your child's ability to succeed at V.I.K.:

* This field is required

Registration Fee Payment ( $150 )

Please allow 3 – 5 business days for process, we will be in touch soon

Qualifying parents can apply for Government Subsidy. For more info, view the following link.

humanservices.alberta.ca

OKOTOKS 200 Sandstone Drive Okotoks, T1S 1R1 587-364-2990 / 587-364-2991 OKOTOKS@vikacademy.com
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