1. Child Information
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Legal First Name * |
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Legal Last Name * |
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Preferred First Name |
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Date of Birth * |
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If the Child will not be starting in September, what month will they start? |
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Gender* |
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Address Street * |
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City * |
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Province* |
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Postal Code * |
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2. Parent Information
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Parent/Legal Guardian 1 (This person will be the primary contact for correspondence.) |
First Name * |
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Last Name * |
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Relationship to Child * |
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Phone Number (including area code) * |
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Email Address * |
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Verify Email Address * |
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Parent/Legal Guardian 2 (optional)
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First Name |
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Last Name |
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Relationship to Child |
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Phone Number (including area code) |
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Email Address |
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3. Emergency Contact Person
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Your emergency contact is someone other than the student's parent or legal guardian and must reside at a different address from that of the child. This person must be in the Edmonton Area and be able to pick up the child in an emergency. |
First Name * |
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Last Name * |
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Phone Number (including area code) * |
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Address Street * |
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City * |
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Province* |
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Postal Code * |
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Relationship to Child * |
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4. Medical Information
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Child's Alberta Health Care Number
(please format: XXXXX-XXXX) * |
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Child's Doctor Name * |
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Phone Number * |
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Are the Child's childhood immunizations up to date?*
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Is the Child on any medication? If Yes, please list all medication. If No, please write 'None'* |
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Does the Child have any allergies or sensitivities? If Yes, please list all allergies or sensitivities. If No, please write 'None'* |
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Are there any serious medical conditions of which you wish DKK to be aware? If Yes, please list all serious medical conditions. If No, please write 'None'* |
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5. Personal Information
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In addition to the Parents, Guardians and Emergency Contact Person listed above, please list any other person(s) who have permission to pick up the Child. If none, please write 'None'.* |
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Are there any family circumstances of which you wish DKK to be aware? If Yes, please list all circumstances. If No, please write 'None'* |
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Which languages are spoken in the household? The Child must have a working knowledge of either English or German to attend.*
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Is this the Child's first year with DKK?* |
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Number of younger siblings?* |
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Number of older siblings?* |
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How did you first hear about DKK?*
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If the morning classes become full, DKK may consider opening up an afternoon class on Mondays & Wednesdays. In that scenario, please select the option that best describes how you might react. Note that it will not be permitted to attend both a morning and afternoon class on the same day.*
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I agree to the sharing of my email address with other parents from DKK.*
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6. Volunteer Information
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DKK is a non-profit organization and operates as a parent co-operative. For DKK to successfully operate, we need the support of volunteers. DKK does not require mandatory classroom participation (duty days). Instead, we ask that parents consider taking a board position or parent volunteer job. Full descriptions of each role is available in the Parent Handbook. Please identify which positions you would consider volunteering for (multiple options accepted). DKK will contact you if required. |
Board Positions (elected at the AGM in May) |
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Other Positions (per class) |
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Police Check Required for Classroom Helpers
Parents wishing to volunteer in the classroom and on field trips at any point in the school year require a completed Police Check. This process can take time and can't always be done at the last minute. If we don't have enough parent volunteers with valid Police Checks, we can't go on field trips. Having a completed police check does not commit you to volunteer for any specific trip or task, but it will allow you to consider them as they arise. It also keeps our teachers and registrars focused on planning trips and not on finding and qualifying volunteers during the school year. If you would like to be eligible to help in this way, please provide the following information and a Police Check form will be emailed to you.The cost of a police check will be $5 and will need to be etransfered to DKK. |
First Name |
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Last Name |
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Birthdate |
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Email Address |
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Please list any special skills, hobbies or jobs you could share in class with the students |
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7. Consent Forms
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1. AGREEMENT WITH DIE KLEINE KINDERSCHULE POLICIES
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2. CONSENT TO MEDICAL TREATMENT
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4. PHOTOGRAPH/IMAGE CONSENT FORM
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8. Pre-Authorized Debit (PAD) Agreement
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Your PAD Agreement must be completed for your registration to be processed. Please follow these steps: - Go to https://app.rotessa.com/authorize/DKKplayschool
- Fill out the required information and submit the form. PLEASE USE YOUR CHILD'S NAME.
- After you submit the form, you will get instructions to confirm your bank information using microdeposits. This step is optional and is not required to complete your registration. As long as you receive a thank you email for your authorization, you have completed your PAD agreement.
- Confirm you have completed your PAD agreement by signing the waiver below
Notes: - If you are registering your child in multiple classes, the PAD agreement only needs to be completed once.
- If you are registering more than one child, please complete one PAD agreement per child.
- If you are registering for a spot on the wait list, you do not need to complete a PAD agreement at this time. You will be asked to complete the PAD when you are placed in a class.
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