Preschool Registration (Oakridge) 2023-2024 – Learning Experience Calgary

CHILD INFORMATION

Name of Child *

First

Last

Date of Birth *

Sex *

Male
Female

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

CLASS TIMES/OPTIONS AND MONTHLY TUITION

*** Tuition has been reduced by the Government of Alberta’s Affordability Grant (AG). *** If the Affordability Grant is withdrawn by the government at any time during the school year, the monthly tuition will increase by the amount of the grant. *** If Child Care Subsidy has been applied for and has been approved, the approved subsidy amount will be refunded once the subsidy amount has been claimed and received by Learning Experience.

NON-REFUNDABLE ANNUAL ADMINISTRATION FEE FOR PRESCHOOL ($80.00).

Two Day Program (Preschool) ($142.00 per month)

Tuesday/Thursday 09:00 – 11:00
Tuesday/Thursday 12:30 – 14:30

Three Day Program (Pre-Kindergarten) ($175.00 per month)

Monday/Wednesday/Friday 08:45 – 11:15
Monday/Wednesday/Friday 12:30 – 15:00

Five Day Program (Mixed Age Group) ($205.00 per month)

Monday/Wednesday/Friday 08:45 – 11:15
Tuesday/Thursday 09:00 – 11:00
Monday/Wednesday/Friday 12:30 – 15:00
Tuesday/Thursday 12:30 – 14:30

Preferred Start Date *

CONSENT FOR PHOTOGRAPHS

I/We consent to photos being taken of our child by their classroom teacher during classroom activities and being shared on the Lillio App with me/us and other parents in my/our child's class if a group photo is taken.

Consent
Do not Consent

PARENT/GUARDIAN INFORMATION (PLEASE COMPLETE ALL INFORMATION FOR BOTH PARENTS/GUARDIANS)

Parent/Guardian Name *

First

Last

Relationship to Child *

Cell Phone *

Email *

Parent/Guardian Name

First

Last

Relationship to Child

Cell Phone

Email

Are both Parents/Guardians authorized to pick the child up from Learning Experience? *

Yes
No

If NO, please provide details.

Is a custody order in place? *

Yes
No

If YES, please provide details.

EMERGENCY CONTACT INFORMATION

(DO NOT LIVE WITH THE CHILD. LIVE IN OR NEAR CALGARY. TWO EMERGENCY CONTACTS ARE REQUIRED)

Emergency Contact *

First

Last

Relationship to Child *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone (Cell phone preferred) *

Emergency Contact *

First

Last

Relationship to Child *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone (Cell phone preferred) *

ADULT(S) AUTHORISED TO PICK CHILD UP

Adult authorised to pick child up from Learning Experience (other than Parent/Guardian/Emergency Contact)

First

Last

Relationship to Child

Phone (Cell phone preferred)

Adult authorised to pick child up from Learning Experience (other than Parent/Guardian/Emergency Contact)

First

Last

Relationship to Child

Phone (Cell phone preferred)

MEDICAL INFORMATION

Name of Family Doctor *

First

Last

Phone *

Alberta Health Care # *

Does the child have any allergies? *

Yes
No

If YES, please provide details e.g. level of severity and treatment required.

Does the child have any food sensitivities? *

Yes
No

If YES, please provide details e.g. level of severity and treatment required.

Does the child have any dietary restrictions? *

Yes
No

If YES, please provide details.

The child’s immunizations are up to date? *

Yes
No

Please provide any further information about your child.

OUTDOOR PLAY AND ACTIVITY CONSENT

Learning Experience has an outdoor space used as play space for the children attending the preschool. During the year, outdoor play may also include walks in the community. Parents and caregivers will be informed if outdoor play involves a community walk.

As the parent(s)/guardian(s) of the above named child, I/We give permission for my/our child to participate in Learning Experience outdoor play and/or activities and/or outings. *

Yes
No

I/We release Learning Experience Limited and/or their staff from any liability that may arise out of outdoor play and/or activities and/or outings with my/our child. While every effort will be made to ensure my/our child's safety, I/We will not hold Learning Experience Limited and/or their staff liable for any accident or other event that may occur during outdoor play, activities and/or outings. *

Agree
Do Not Agree

AUTOMATIC FEE PAYMENT; FEES AND TERMINATION POLICIES

Learning Experience uses the Lillio App for billing and the payment of preschool fees.

I/We, the Payor, agree to pay the Administration Fee and the Deposit (June 2024 Tuition) through my/our Lillio account in order to secure my/our child's spot at Learning Experience. *

Agree

I/We, the Payor, agree to set up my/our banking details on my/our Lillio account when the activation is received. *

Agree
Not Applicable

I/We, the Payor agree to keep my/our banking details up to date on my/our Lillio account. *

Agree

I/We, the Payor, agree to select the AUTOPAY option when setting up my/our account on the Lillio App. *

Agree

I/We, the Payor, agree that I/We are responsible for the renewal of our Subsidy information. *

Agree
Not Applicable

I/We, the Payor, agree that the Affordability Grant will be added to the following month's invoice if the Government of Alberta declines the claim for any reason whatsoever. *

Agree

I/We, the Payor, may revoke my/our authorization at any time by giving the Payee, Learning Experience Limited thirty (30) days prior written notice. Such written notice must be provided to Learning Experience Limited by email. *

Agree

I/We agree that preschool or child care withdrawal notices for September programs must be submitted to the office by August 1st. *

Agree

I/We agree that a minimum of one (1) calendar month’s written notice of withdrawal is required on or before the 1st of the month prior to the month leaving (e.g. September 1 if leaving in October). *

Agree

I/We agree that the deposit (June tuition) may be used to pay for the withdrawal month’s tuition if appropriate notice is provided. *

Agree

I/We agree that monthly tuition will not be prorated for any reason and that there will be no refunds for missed days unless due to a province-wide closure. *

Agree

I/We agree that temporary absences, such as a vacation or illness, will not be deducted from the monthly tuition due. *

Agree

I/We agree that a $40.00 NSF fee will be added to any NSF payment. Payment in cash or certified cheque will be required for that payment (or as arranged with Administration). *

Agree

I/We acknowledge that my/our child's spot at Learning Experience is not confirmed or guaranteed until the aforementioned financial and fee conditions have been provided. *

Agree

I/We acknowledge that this registration period is for the 2023-2024 Academic Year. *

Agree

Signature *

Date *

Signature

Date

Email to send Confirmation of Registration *