Preschool Enrollment

ClubAnglais Preschool Enrollment

Application Date*

Would you like to include food services in your enrollment* Yes No

Personal Information

Child's Name*

Date of Birth*

Gender*

Nationality*

First Language*

Other Lanugages

Language(s) Spoken at home*

Parent/Gaurdian Information

Father

Full Name

Nationality

Home Address

Home Phone #

Mobile Phone #

Occupation

Employer

Email Address

Work Phone #

Mother

Full Name

Nationality

Home Address

Home Phone #

Mobile Phone #

Occupation

Employer

Email Address

Work Phone #

Emergency Contact

Full Name*

Relationship*

Phone #*

Student Information

What school experience has your child had, if any?

What things interest your child most?

Does your child have any food considerations, allergies, or health concerns that we should be aware of?

Is your child potty trained?* Yes No

Notice

This application is complete when the following documents are received by ClubAnglais: