Registration form | Lakeview Community Preschool

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Register for 2023/2024

Learn more about our class

Program *

3 year old

4 year old

Preference *

AM

PM

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

Home phone -no dashes/brackets

Last name

Cell phone

Email

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

Home phone

Cell phone

Email

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

Home phone

Cell phone

Business phone

Home address

Student doctor's name

Student doctor's phone

Student Alberta Health Care #

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