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Early Learning Registration
"
*
" indicates required fields
Early Learning Facility
*
- Choose an early learning facility -
Rosewood Early Learning & Family Centre
E.D. Feehan Early Learning & Family Centre
Rosewood Location Questions
Do you live in the Rosewood area?
*
Yes
No
Do you have other children attending Collette Bourgonje Public School and/or Saint Therese of Lisieux Catholic School?
*
Yes
No
Parent/Caregiver(s) Information
Number of parent/caregiver(s)?
*
1
2
3
4
5
Primary Parent/Caregiver
Name
*
First
Last
Email
*
Please note: A copy of this information will be sent to this email address for your records.
Home Phone
Cell Phone
Work Phone
Address
Street Address
City
Province
Postal Code
Relationship to Child(ren)
*
Additional Parent/Caregiver
Name
*
First
Last
Email
*
Home Phone
Cell Phone
Work Phone
Address
Street Address
City
Province
Postal Code
Relationship to Child(ren)
*
Additional Parent/Caregiver
Name
*
First
Last
Email
*
Home Phone
Cell Phone
Work Phone
Address
Street Address
City
Province
Postal Code
Relationship to Child(ren)
*
Additional Parent/Caregiver
Name
*
First
Last
Email
*
Home Phone
Cell Phone
Work Phone
Address
Street Address
City
Province
Postal Code
Relationship to Child(ren)
*
Additional Parent/Caregiver
Name
*
First
Last
Email
*
Home Phone
Cell Phone
Work Phone
Address
Street Address
City
Province
Postal Code
Relationship to Child(ren)
*
Child(ren) Information
Number of children you are registering?
*
1
2
3
4
5
Child
Name
*
First
Last
Date of Birth
*
MM slash DD slash YYYY
Does your child require extra support?
*
Yes
No
If yes, please explain.
*
Date childcare is required?
*
MM slash DD slash YYYY
Additional Child
Name
*
First
Last
Date of Birth
*
MM slash DD slash YYYY
Does your child require extra support?
*
Yes
No
If yes, please explain.
*
Date childcare is required?
*
MM slash DD slash YYYY
Additional Child
Name
*
First
Last
Date of Birth
*
MM slash DD slash YYYY
Does your child require extra support?
*
Yes
No
If yes, please explain.
*
Date childcare is required?
*
MM slash DD slash YYYY
Additional Child
Name
*
First
Last
Date of Birth
*
MM slash DD slash YYYY
Does your child require extra support?
*
Yes
No
If yes, please explain.
*
Date childcare is required?
*
MM slash DD slash YYYY
Additional Child
Name
*
First
Last
Date of Birth
*
MM slash DD slash YYYY
Does your child require extra support?
*
Yes
No
If yes, please explain.
*
Date childcare is required?
*
MM slash DD slash YYYY
Sharing Arrangements
Are you interested in sharing a space with another family? (Kindergarten Only)
*
Yes
No
Have you spoken with another family about your desired sharing arrangements, or have another family in mind?
*
Yes
No
Please provide details on your desired sharing arrangements.
*
If you have not identified another family to share with, please list the name(s) of your child(ren) who required a shared space.
*
Comments
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