Programs

The Little Schoolhouse
Registration Form
2026-2027

Child's Information

First name

Date of Birth (Month/Day/Year)

Last name

Gender

Male

Female

Preferred Name

Alberta Health #

Maliling Address

Physical Address

Phone

Canadian Birth Cetificate or Canadian Documentation submitted to Teacher

#1 Parent/Guardian Information

Full Name

Relationship to Child

Home Phone

Cell/Work

Address

#2 Parent/Guardian Information

Full Name

Relationship to Child

Home Phone

Cell/Work

Address

Contact In Case Of Emergency (Not residing at child's residence)

Contact Name

Phone

Phycial Address

Relationship to Child

Contact Name

Phone

Phycial Address

Relationship to Child

Student Medical Information

Child's Physician

Clinic & Address

If you do not have a family physician, please provide details of the clinic regularly used by your family:

If yes, please provide details:

If yes, please explain:

If yes, please specify:

Is there any other relevant health information (past and/or present) that we should know? Is there any additional important information?

Citizenship / Immigration Status

If yes, what Province:

If no, please check appropriate box below

Temporary Resident (student has a study permit and living under the care of a legal guardian).

A child lawfully admitted to Canada for permanent residence must present a permanent residency card.

A child living in Canada, with a biological or adopted parent who is a Canadian Citizen.

A child living in Canada, with a biological or adopted parent who has Landed immigrant Status or Study Permit or Work Visa. Proof of parent’s documentation and a copy of child’s passport required.

A step-child of a Canadian; student presents passport and study permit. Biological or adopted parent provides passport and proof of application for permanent residency and fee payment to Citizenship and Immigration Canada.

A step-child of a Temporary Foreign Worker; student presents passport and study permit. Biological or adopted parent provides passport; step-parent provides passport and work permit.

English As An Additional Language (EAL)

A student may be eligible for EAL support when the primary language spoken at home is a language other than English.

If NO, my child’s primary language is:

First Nations, Métis And Inuit Eligibility (FNMI)

Guardianship Rights, Custody Or Access Rights

Guardians of the student must be identified to ensure the rights of each party are respected. A child may be designated as “Protected” if a court has issued an order under the Child welfare Act, the Domestic Relations Act, the Divorce Act, the Protection Against Family Violence Act, or Child Youth, and Family Enhancement Act that is predecessor to or a substitute for any of the said Acts. If you child is subject to any such order or agreement, please indicate below and discuss this situation with the school administration. If an order exists affecting guardianship rights or custody or access rights, a coy of the order or agreement will be required for the student’s record.

If this order affects communication regarding the student to anyone other than the first parent / guardian listed, please explain:

NOTE: Please inform the Teacher of any situations that may affect your child during the school year, such as birth, death, separation, hospitalization, etc. Also, please notify the Teacher if any change of medication occurs during the school year.

I certify that the information provided to be true and accurate to the best of my knowledge. If any of the information changes, I will notify the school immediately.

Thank you! We’ll be in touch.

The Little Schoolhouse Registration Form 2026-2027

Child's Information

#1 Parent/Guardian Information

#2 Parent/Guardian Information

Contact In Case Of Emergency (Not residing at child's residence)

Student Medical Information

Citizenship / Immigration Status

English As An Additional Language (EAL)

A student may be eligible for EAL support when the primary language spoken at home is a language other than English.

First Nations, Métis And Inuit Eligibility (FNMI)

Guardianship Rights, Custody Or Access Rights

NOTE: Please inform the Teacher of any situations that may affect your child during the school year, such as birth, death, separation, hospitalization, etc. Also, please notify the Teacher if any change of medication occurs during the school year.

I certify that the information provided to be true and accurate to the best of my knowledge. If any of the information changes, I will notify the school immediately.

The Little Schoolhouse
Registration Form
2026-2027