The Lawrence Park School Ltd.

Application for Admission:  Toddler, Nursery and Kindergarten Programs

 

Child’s Name: __________________________________________________________

(Last)                                                            (First)                                           (Middle)    

Home Address: ________________________________ Postal Code: ______________

Telephone No.:___________________  Child’s Date of Birth: _____________________

 

	Mother	Father
Full Name
Phone no.
Cell phone no.
Address
Occupation
Business Name & Address
Business Telephone
Email address

         

Allergies _____________________  Epi-Pen? ___________  (additional forms may be required)

 

Child’s Doctor ______________Phone no. ______________Address _____________________________

 

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PERSON TO BE CONTACTED IF PARENTS CANNOT BE REACHED:

Name:   ____________________ Address:     _________________________________

Business phone no.__________ Home phone no.  _____________ Relationship to child  _____________

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Siblings:

Name __________________________  Age _______  Sex ________

Name __________________________  Age _______  Sex ________

Other people living in the home ______________________________

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Days Attending (circle) : M / T / W / Th / F                                AM or PM (circle one)                                                      Circle program attending:  Toddler   /   Preschool   /   Kindergarten Enrichment  -  JK or SK (circle one)

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HOW DID YOU HEAR ABOUT US?  Returning family / Website / Other publication / Word of Mouth / Other

 

Please submit your NON-REFUNDABLE deposit of your 1^st month’s tuition plus a $100 registration fee made payable to The Lawrence Park School with your application.

 

Date of Application ______________________  Signature  _______________________