Student Information

Student Information

Please Enter Student Name Please Enter Given Name Please Enter Last Name
Male Female Please Select Gender
Please Select Commencing Year
Yes No Some Please Select if Child Speaks/Understands English
Please Select Grade of Entry
Please Enter Home Language
Please Enter Previous School/Childcare
Canadian Visa Student Landed Immigrant Visitor Please Select One Option

Health Information

Please Enter Name of Doctor
Please Enter Address
Please Enter Telephone Number
Please Enter Birth Certificate *
Please Enter Health Card #
Please Enter Card Expiry Please Enter Card Expiry
Please Enter Person Name
Please Enter Relationship
Please Enter Telephone Number
Please Enter Telephone Number
Medications Food Others None Please Select Child Allergic
Yes No Please Select Child Take Medication Regularly
Yes No Please Select Epi Pen
Yes No Please Select Child Previous History
Yes No Please Select Child Wear Glasses

Parent/Guardian Information

Parent/Guardian Information

Married Divorced Separated Single Other Please Select Parent's Marital Status
Please Enter Home Address
Please Enter City
Please Enter Postal Code
Please Enter Home Telephone # Please Enter Correct Home Telephone #
Father Mother Please Select Account Fill Father Details or Mother Details
Father Mother Both Please Select Primary Contact
Mother/Guardian Father/Guardian Both Please Select legal guardian

Father/Guardian *

Please Enter Father/Guardian - First Name

 

Please Enter Father/Guardian - Last Name
Please Enter Father Home Address
Please Enter Father City
Please Enter Father Postal Code
Please Enter Father Home Telephone # Please Enter Correct Father Home Telephone #
Please Enter Father Occupation
Please Enter Father Work Telephone Number Please Enter Correct Father Work Telephone Number
Please Enter Employer's Name
Please Enter Employer's Address
Please Enter Father Cell Please Enter Correct Father Cell
Please Enter Father Email An account with this email address has already been created please click here to access the login page.

Mother/Guardian *

Please Enter Mother/Guardian - First Name

 

Please Enter Mother/Guardian - Last Name
Please Enter Mother Home Address
Please Enter Mother City
Please Enter Postal Code
Please Enter Mother Home Telephone # Please Enter Correct Mother Home Telephone #
Please Enter Mother Occupation
Please Enter Mother Work Telephone Number Please Enter Correct Mother Work Telephone Number
Please Enter Employer's Name
Please Enter Employer's Address
Please Enter Mother Cell Please Enter Correct Mother Cell
Please Enter Mother Email An account with this email address has already been created please click here to access the login page.
Yes No Please Select One Option
Please Provide Sibling Name and Class
1.
2.
Newspaper Facebook Instagram Friend Sign Toronto Life Our Kids Internet Other Please Select One Option

Verification

STATEMENT OF RELEASE

MEDICAL WAIVER
I, , the parent/guardian of understand that in the event of an accident or illness occurring to my child, the school will make every attempt to contact me and/or my spouse. If however, I or my spouse can not be reached, I hereby give Unionville Montessori School, its Directors, Officers, Agents, Employees and all persons connected with the school authority to act on my behalf in case of emergency and to obtain medical care if warranted. Any expenses incurred in an emergency situation will be the responsibility of the child’s family.
I also agree to release and indemnify Unionville Montessori School, its Directors, Officers, Agents and Employees from any and all claims for damages arising from any injury or otherwise related actions to my child as a result of any accidents, illness, injury or any other reason arising from participation in any school activities.

PERMISSION TO GO ON SCHOOL EXCURSIONS
I, , the parent/guardian of give permission for my son/daughter to take part in any out-of-school events during the school year. I will be notified again in writing before any particular visit or trip.
I understand that my child will be expected to attend all school outings and if he/she does not attend for health or other reasons, there will be no school on the day of the outing.

PHOTOGRAPHIC AND DIGITAL MEDIA WAIVER
I, , the parent/guardian of authorize my child’s photograph/video/voice/name to be used for school activities and school purposes only (including school promotional materials in print, all forms of digital media as well as online, including social media).

Terms & Conditions *

I have read and understood the conditions of enrollment and the policies of the school as outlined in the Registration Agreement of the Unionville Montessori School. By checking the box below, I hereby agree to all the terms and conditions stated therein.

Please Add Sign
I Agree * Please select I Agree First