Please fill all sections accurately and completely.

For any section that is not applicable to you, please enter N/A.

This is a fairly detailed form –it has seven parts, and will take some time to fill. As our school has licensed classrooms, the ministry requires all information that is requested in these forms.

Correct contact information, addresses, illness information are all requirements.

Failure to provide this information will delay the process.

A one time $50 registration fee along with first month’s tuition fee (per child) is required and is non-refundable. You may bring the payment along with all documentation such as previous reports, immunization record, etc. when you are called for your registration appointment.

An incomplete form will delay processing and may result in non-admission as our classes are close to maximum capacity.

If you have more than 2 children, please click here for registration

filling out the registration form below does not guarantee admission. Every student is subject to an assessment and interview to ensure the fulfillment of their application. Parents will also be interviewed.

We have reached maximum capacity for our classes from kindergarten to grade 6 for the 2019-2020 academic year. Fortunately we still have room in our junior high class (grades 7 to 9).

Students registering for kindergarten to grade 6 will be put on a waiting list.

New Registration

Please select the academic year you wish to register your child(ren) for.
Part 1 - Student Information
Student Name *
Student Name
Student's Home Address *
Student's Home Address
Date of Birth *
Date of Birth
Grade level will be determined by age, previous school and academics.
If applicable or put N/A in the box
Student Name 2
Student Name 2
Please fill this out if you have more than one child attending the Academy
Student's Home Address
Student's Home Address
Date of Birth
Date of Birth
Grade level will be determined by age, previous school and academics.
If applicable or put N/A in the box
Part 2: Parent's Information
Mother's Name/Guardian's Name *
Mother's Name/Guardian's Name
Mother's Address/Guardian's Address *
Mother's Address/Guardian's Address
Mother's/Guardian's Home Phone *
Mother's/Guardian's Home Phone
Mother's/Guardian's Mobile Phone *
Mother's/Guardian's Mobile Phone
Mother's/Guardian's Work Address
Mother's/Guardian's Work Address
Mother's/Guardian's Work Phone
Mother's/Guardian's Work Phone
Father's Name/2nd Guardian's Name *
Father's Name/2nd Guardian's Name
Father's/2nd Guardian's Home Address (If Different, Otherwise type SAME as Mother/Guardian) *
Father's/2nd Guardian's Home Address (If Different, Otherwise type SAME as Mother/Guardian)
Father's/2nd Guardian's Mobile Phone *
Father's/2nd Guardian's Mobile Phone
Father's/2nd Guardian's Work Address
Father's/2nd Guardian's Work Address
Father's/2nd Guardian's Work Phone
Father's/2nd Guardian's Work Phone
Part 3 - Siblings
Please enter the numerical value between 1 and 5.
Part 4 - Emergency Contact Information
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Address *
Emergency Contact Address
Emergency Contact Phone *
Emergency Contact Phone
Part 5 - Who is allowed to pick up your child from school when you or your spouse can't?
Name of Person Whom we can release your child to: *
Name of Person Whom we can release your child to:
Your child may be released to the person named above in your absence.
Phone Number *
Phone Number
Phone of First Person who your child can be released to.
How is this person related to your child?
Name of Second Person Whom we can release your child to: *
Name of Second Person Whom we can release your child to:
Your child may be released to the person named above in your absence.
Phone Number *
Phone Number
Phone of Second Person who your child can be released to.
How is this person related to your child?
Part 6 - Medical and Other
Doctor's Name *
Doctor's Name
Please enter your child's Doctor's Name below
Doctor's Address *
Doctor's Address
Doctor's Phone Number *
Doctor's Phone Number
Please enter your child's health card number and check the expiry date. It is your duty that the school has the most current information.
Is your child allergic to nuts? *
Please list any other allergies here.
Does your child have any special needs? *
Does your child have any chronic illnesses? *
Does your child have any history of communicable diseases? *
Is your child's Immunization record available? (Please bring when requested) *
Is your child attending any special education class? *
Does your child have any dietary restrictions? *
Do you require bus transportation? *
List any medical restrictions, special needs, dietary restrictions, or any other details that might be important for the school to know.
Part 7: Signature & Date
Date signed *
Date signed

If you are experiencing any problems with the application, please contact the school at (780) 432-7020.