Registration Home Registration Registration FormComplete the registration process to secure your child’s spot at House of Diamonds Childcare. 1 Child 2 Parent 3 Emergency 4 Program 5 Signature 0% First Name * Last Name * Date of Birth Previous Next Parent/Guardian Information First Name Last Name Email Address Phone Number Address City Postal code Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Add 2nd Parent/Guardian (Optional) Previous Next First Name Last Name Relationship to Child Medical Information Allergies (if any) Medical Conditions (if any) Previous Next Program Baby Program (10 months to 2 years) Toddler Program (2-3 years) 1st Pre-Kindergarten (3-4 years) 2nd Pre-Kindergarten (4-5 years) Schedule Full-Time (5 Days) Part-Time (3 Days) Part-Time (2 Days) Preferred Start Date I confirm that all information provided is accurate. I understand that submission of this form does not guarantee enrollment and that I will be contacted by a staff member to complete the registration process. * Previous Next Signature Sign digitally using your mouse, touchscreen, or a digital pad. Clear Undo Redo Submit Previous Next
