Registration Form Gosfield North - July 2024

: Registration Form
: All information gathered is a mandatory requirement under the CCEYA & The Ministry of Education (6.4.58-59)
: When entering information, please capitalize all names & addresses etc. This record is also used at tax receipt time. We always need the most up to date information.
Your child will be attending the following Discovery Site:
Age Group Placement (choose one):
Childcare Requirement:: Full-timePart-timeOther
: NAME of CHILD
Child's Last Name:
Child's First Name:
Preferred Name:
Child's Birth date:: *** PLEASE BE SURE TO FOLLOW THE DATE FORMAT SPECIFICALLY - THANKS! ***
Home Address:: Line 1:
Line 2:
City:
Country:
Canada
State:
Postal Code:
Language (s) Spoken at Home: