[email protected] 780-416-6399 (Office) 780-863-5907 (Cell)

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Registration

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REGISTRATION FORM

Please complete the form below and click submit.

Family Name
Family Name
First Parent
Relation to Child
First Name
Last Name
Cell Phone
Home Phone
Address
City
Province
Postal Code
Work Name
Work Phone
Work Address
Date of Birth
Email
Second Parent
Relation to Child
First Name
Last Name
Cell Phone
Home Phone
Address
City
Province
Postal Code
Work Name
Work Phone
Work Address
Date of Birth
Email
First Child
Given Name
Last Name
Goes By
Date of Birth
Sex
Living Arrangements
Child lives with
Is there a custody agreement?
School
School Name
Enrolment
Desired Start Date
Program
Frequency
Medical
Health Care #
Physician's Name
Physician's Phone
Diet Restrictions
Allergies
Other Medical Concerns
Does your child receive medication on an ongoing basis?
Subsidy
Other questions, comments or notes
Second Child
Given Name
Last Name
Goes By
Date of Birth
Sex
Living Arrangements
Child lives with
Is there a custody agreement?
School
School Name
Enrolment
Desired Start Date
Program
Frequency
Medical
Health Care #
Physician's Name
Physician's Phone
Diet Restrictions
Allergies
Other Medical Concerns
Does your child receive medication on an ongoing basis?
Subsidy
Other questions, comments or notes
Third Child
Given Name
Last Name
Goes By
Date of Birth
Sex
Living Arrangements
Child lives with
Is there a custody agreement?
School
School Name
Enrolment
Desired Start Date
Program
Frequency
Medical
Health Care #
Physician's Name
Physician's Phone
Diet Restrictions
Allergies
Other Medical Concerns
Does your child receive medication on an ongoing basis?
Subsidy
Other questions, comments or notes
Emergency Contacts (Other than parents)
Relation to Child
First Name
Last Name
Cell Phone
Home Phone
Address
City
Province
Postal Code
Relation to Child
First Name
Last Name
Cell Phone
Home Phone
Address
City
Province
Postal Code
Consent
Nature / Neighborhood Consent
Community Park Consent
Take Pic or Videos Consent
Wrap Up
How did you first hear about us?
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Enrollment Is Now Going On

If you are interested in registering your child in World of Wonders Childcare please fill out our online registration form or download the registration form below. You can also book a tour for personal visit – We are always happy to help you!

Registration Form
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Book a Tour