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Passwords may only contain letters and numbers

Parent Information (Contact the office to change your email address)
First Name

Last Name

Phone Number

EMail

Password

Address
Address
Apt


City
Province
Postal Code



Parent/Legal Guardian #1Parent/Legal Guardian #2
 First Name
 Last Name


 First Name
 Last Name


Relationship to Child

Relationship to Child

 Cell

 Cell

 Work Phone

 Work Phone

Family Doctor

Doctors Phone

Additional Contact
Contact First Name
Contact Last Name


Contact Phone
Relationship to Child



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