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Preschool Registration (Oakridge) 2023-2024
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CHILD INFORMATION
Name of Child
*
First
Last
Date of Birth
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Sex
*
Male
Female
Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
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.
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
*
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2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
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CONSENT FOR PHOTOGRAPHS
I/We consent to photos being taken of our child by their classroom teacher during classroom activities and being shared on HiMama 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
*
Mother
Father
Guardian
Grandmother
Grandfather
Aunt
Uncle
Cell Phone
*
Email
*
Parent/Guardian Name
First
Last
Relationship to Child
Mother
Father
Guardian
Grandmother
Grandfather
Aunt
Uncle
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
(NOT LIVING WITH THE CHILD AND TWO EMERGENCY CONTACTS REQUIRED)
Emergency Contact
*
First
Last
Relationship to Child
*
Mother
Father
Guardian
Grandmother
Grandfather
Aunt
Uncle
Daycare/Dayhome Provider
Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone (Cell phone preferred)
*
Emergency Contact
*
First
Last
Relationship to Child
*
Mother
Father
Guardian
Grandmother
Grandfather
Aunt
Uncle
Daycare/Dayhome Provider
Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Canada
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
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
Mother
Father
Guardian
Grandmother
Grandfather
Aunt
Uncle
Daycare/Dayhome Provider
Phone (Cell phone preferred)
Adult authorised to pick child up from Learning Experience (other than Parent/Guardian/Emergency Contact)
First
Last
Relationship to Child
Mother
Father
Guardian
Grandmother
Grandfather
Aunt
Uncle
Daycare/Dayhome Provider
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 HiMama for billing and the payment of preschool fees.
I/We, the Payor, agree to set up my/our banking details with HiMama when the activation is received.
*
Agree
I/We, the Payor, agree to select the AUTOPAY option when setting up my/our account with HiMama.
*
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 shall inform the Payee, Learning Experience Limited, in a timely manner, of any changes to my banking details.
*
Agree
I/We agree to pay the non-refundable, mandatory administration fee of $80.00; and tuition fees for June of the current school year (both due on date of registration) via eTransfer to admin@learningexperience.ca to confirm my/our child's spot.
*
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
*
Clear Signature
Date
*
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Signature
Clear Signature
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Email to send Confirmation of Registration
*
Website
Submit
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