2965 Hwy 43, Kemptville +1-613 258-1931

Application for Admission

Please read and fill out the form below

Student Information


FAMILY INFORMATION


SIBLING INFORMATION


MEDICAL INFORMATION


EMERGENCY CONTACT #1 (other than parent)

EMERGENCY CONTACT #2 (other than parent)


DROP OFF/PICK UP INFORMATION (Please indicate other than parents)


PROGRAM REQUESTED

* Please note the part time option for the Infant Program is not always available


AUTHORIZATION