Student Enrollment - Toddler Program | King City Montessori School

Child Information

Parent/Guardian

Program Selection

Health & Emergency

Payment

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Child Information

Child's First Name *

Child's Last Name *

Date of Birth *

Gender *

Allergies or Medical Conditions

Current Medications

Special Needs or Accommodations

Parent/Guardian Information

Primary Guardian

First Name *

Last Name *

Email *

Phone *

Street Address *

City *

Province *

Postal Code *

Relationship to Child *

Secondary Guardian (Optional)

Add secondary guardian information

Program Selection

Program Type *

Preferred Start Date *Note: Start dates are subject to availability

Schedule Preference

I'm interested in Extended Care (before/after school)

Health & Emergency Information

Emergency Contacts

Emergency Contact 1 - Name *

Emergency Contact 1 - Phone *

Relationship *

Emergency Contact 2 - Name

Emergency Contact 2 - Phone

Relationship

Health Information

Family Doctor Name

Doctor's Phone

Ontario Health Card Number

I confirm that my child's immunizations are up to date *

I consent to emergency medical treatment if necessary *

Payment Information

Payment Summary

Program Fee:$0.00

Registration Fee:$200.00

Materials Fee:$0.00

Total Due Today:$200.00

Pay Registration Fee Online

Payment Method *

I agree to the payment terms and conditions *

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I have read and agree to the Terms of Service and Privacy Policy*

I understand that enrollment is subject to availability and approval *

Student Enrollment - Toddler Program

Child Information

Parent/Guardian Information

Primary Guardian

Secondary Guardian (Optional)

Program Selection

Program Details

Health & Emergency Information

Emergency Contacts

Health Information

Payment Information

Payment Summary

Card Information

💳 Card Reader Available

Review & Submit