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Registration

If you do not receive a confirmation email upon submission, please contact Kristy at kristy.penner@blumenortpreschool.ca or call us at 204-381-2887 to confirm your registration slot.

"*" indicates required fields

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Child Information

Name*
MM slash DD slash YYYY
Gender of Child

Contact Details

Home Address*

Class Information

Age Group*
# of Classes Preferred*
# of Classes Preferred*
Please indicate your FIRST choice for classes. We will do our best to accommodate requests.*
Please indicate your SECOND choice for classes.*
Please indicate your THIRD choice for classes.*
Please select the class your child will attend*
Please indicate your FIRST choice for classes. We will do our best to accommodate requests.*
Please indicate your SECOND choice for classes.*
Please indicate your THIRD choice for classes.*
Please select the class your child will attend*

Class Details

In an effort to make Kindergarten easier for you and your child, we do our best to have those attending the same school for Kindergarten be in the same class for preschool.

Parent / Guardian Information

Mother's Name

Parent / Guardian Information

Father's Name

Child Health Information

6 digit number
9 digit number
If you do not have a Family Doctor, please list the last clinic at which your child was seen.

Emergency Contacts

Please list someone other than the child's parents/guardians.
Please list someone other than the child's parents/guardians.
Names of those authorized to pick up child
List up to 3 names other than the child's parents / guardians. If you are separated or divorced, and have a custody agreement in place, please contact the Director to provide that information.

Child Health Information

If you the answer is yes to any of the following questions, please contact Kristy (blumenortpreschool@yahoo.ca) to fill in a URIS application, so that we can make sure that your child is taken care of in all circumstances.

Does your child have ANY allergies?*
Does your child have ANY medical concerns or conditions?*
Does your child have ANY physical, developmental or emotion concerns relevant to the care of your child?*
Does your child currently receive support from or is on a waiting list for Speech and Language, Occupational Therapy, Physical Therapy or Child Development Clinic?*

Consent Forms

In Case of Emergency*
In the event my child is ill or injured and I cannot be reached, I give consent for Blumenort Preschool to refer my child to the family physician or have my child transported to the nearest hospital. I also understand that should my child be transported by ambulance, Blumenort Christian Preschool will have no responsibility for the costs involved.
Photos & Videos
I give permission for my child to be photographed and/or videotaped. I also give permission for those photographs and video clips to only be posted on the Lillio App for each classroom to use.
Supervision*
I understand the fact that children will be under supervision at all times. I understand that there are several smaller rooms in the classroom, there may be times where my child is momentary out of view and under indirect supervision. I understand staff will frequently scan the room and ensure areas not visible are supervised. I consent to these conditions.
Field Trips*
At Blumenort Christian Preschool, we go on several field trips each year. Parents will be notified of all field trips once the dates have been confirmed and will also get reminder notes near the date of the field trip. For all of our field trips, we will be taking the Blumenort Community Church bus. The following is consent for your child to attend all field trips for the year. All the field trip fees are included in your monthly fees. If you should choose to volunteer for any of the field trips, you will be responsible to pay your admission fees at the time for the field trip. I give permission for my child to attend all field trips for the school year. I also give permission for my child to be transported with the Blumenort Community Church bus.
Lillio App*
Blumenort Christian Preschool supports and encourages the use of technology to allow our parents to be part of our classroom and observe their child's preschool experience through their personal devices using the "Lillio" App. These apps allows the teacher to take pictures and videos of the happenings and experiences in their classroom and post them for parents to see. Each class will have their own account and will only be available to the parents and/or guardians of each child in that class. This account is completely private and no access will be granted to anyone other than parents/ guardians and teachers of each classroom. As the parent or legal guardian of the child listed, I would like permission to participate in the Lillio app. As the parent/legal guardian, I will respect the privacy of others and not share or repost any pictures on this account; I will not screenshot any of the pictures: I will ensure any and all comments I post are respectful to all: I will not comment with any #hashtags; I will report any concerns, misuse or abuse of this account.
Permissions*
Any misuse or reposting to any public forum will result in your access to these technologies being revoked. As the parent or legal guardian of the child listed above, I give permission for this child to have their pictures and/or video posted on the "Lillio" App. These will only be posted on the Lillio App for each classroom to see. I understand that I may rescind the permission granted on this form at any time.

Payments

Thank you for your information. Please read the following before submitting your application. Once your registration has been processed and accepted, you will receive an email to finalize your registration.

Fees

Tuition:
2 classes per week - $35 per month or $350 per year.
4 classes per week - $70 per month or $700 per year.
Includes Music For Young Children classes and all Field Trips.

Invoices will be emailed and payments can be set up using Lillio. Payments can be made with debit or credit card.

If my child is accepted, I would like to pay:*
Registration Fee*
There will be a $25 registration fee due upon the acceptance of your registration. You will receive an email from the Lillio app once we have processed your registration. When you have received this email, you will be required to register your account and set up your payment information.

Donations

Our desire is to continue to provide the highest quality program while making it affordable to all families. In order to do so, we are asking those who are able to consider making a donation on top of their fees. All donations are taxable and a charitable receipt will be issued. Our Board thanks you in advance for your continued support!
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I would like to donate:
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I would like to make a monthly donation of:

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I would like to make a one time donation of:

Preschool Logo
  • Our Staff
  • Curriculum + Policies
  • Registration

204-381-2887

kristy.penner@blumenortpreschsool.ca

Contact Us

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Phone: 204-381-2887

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Email: kristy.penner@blumenortpreschoolr.ca

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Location: 59 Centre Avenue, Blumenort, Manitoba

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