Refer TO GET $100 discount (cONDITIONS APPLY)

special offer - 1st 30 families to enroll will receive $100 discount

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Registration Form

Tap for peace of mind!

Home
About
Programs
Contact
Registration Form

Tap for peace of mind!

Registration Form

Child's Information - Full Legal Name*

Preferred Name or Nickname*

Date of Birth (DD-MM-YYYY)*

Gender Form*

Male

Female

Non-Binary

Prefer not to say

Full Home Address*

Language Spoken at home*

(Parent-guardian Information) Primary guardian name *

Primary guardian relationship to child*

Primary gaurdian address*

Primary guardian phone no.*

Primary guardian work name & phone no.*

Secondary guardian name*

Secondary guardian relationship to child *

Secondary guardian address *

Secondary guardian phone no.*

Secondary guardian work name & phone no.*

Email ID*

Emergency contact (Name & Relationship to Child)*

Emergency contact email*

Emergency contact phone no. *

Emergency contact address*

Authorized Pick-up person (Must be 18+)*

Does you child have any medical conditions?*

Asthma

Allergies

Diabetes

Other

Other medical condition explanation

Does your child carry an Epi-Pen or other medical device?*

Yes

Medications required during daycare hours?*

Physician name, address & phone no.*

Immunization records

Up-to-date

In process

Not up-to-date

Other - Inform us

Dietary restrictions (e.g. vegetarian, non-vegetarian, halal etc.)*

Food allergies *

Additional developmental, behavioral, learning or physical needs *

Permission & Agreement - My child may participate in neighborhood walks or outings*

Yes

Photos of my child may be used in newsletters, bulletin boards, or social media*

Yes

Staff may apply sunscreen or insect repellent (supplied by family) *

Yes

In case of medical emergency, I authorize staff to seek medical treatment*

Yes

Schedule - Days attending *

Monday

Tuesday

Wednesday

Thursday

Friday

Start date*

Hours of attendance*

Fee due date: 1st of each month

Additional fees (e.g. late pickup, special supplies, etc.)

Policies Acknowledgement - I, the undersigned, have received, read, and agree to the policies of Little Legend Child Care (Registration form), including but not limited to: Health / Illness Policy, Safety/Emergency Procedures, Discipline Policy, Late Pick-Up Policy, Payment & Refund Policy*

Yes

Signature - Parent or Guardian (Full name with date)*

How did you hear about us? *

Facebook/Instagram

Website

Friend/Relative

Contact Us

Visit Little Legend Child Care to explore our nurturing environment where every child's unique story begins and adventures unfold.

Location

490 Mistatim Way NW, Edmonton, AB T6V 1H5

Adventure

Nurturing environment for every child's growth.

+1-780-966-7800

LLCCedmonton@gmail.com

Hours of operation: Monday to Friday - 6:30 AM to 6:00 PM

Enter your email address here*

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