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Phone 905.474.9888
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Please enter your child’s information below:
Surname
Given Name
Gender
Male
Female
Date of Birth ( D/M/Y )
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Child birth month
MM
January
February
March
April
May
June
July
August
September
October
November
December
Child birth year
YYYY
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
Age
(Age is calculated as of July 2024 in years and months)
Current Grade
Program
Please Select Program
Junior Discovery Camp
Senior Discovery Camp
Adventure Camp
Emergency Contact Name
Phone #
Doctor’s Name
Doctors Phone #
Health Card
Is your child currently attending or will be attending the UMS Pre-Casa or Junior Casa programmes for the 2019-2020 school year?
Yes
No (If no, please enter the name of their school)
Please Select If your child is currently attending or will be attending the UMS Pre-Casa or Junior Casa programmes for the 2019-2020 school year?
other school child
Enter School Name
Is this child a student of Unionville Montessori School?
Yes
No (If no, please enter the name of their school)
Please Select Whether you are a student of Unionville Montessori School.
other school child
Please Enter School Name
Class
Please Select
Please Select Class
Does your child have any allergies?
Yes
No
Please Select Allergies
Please list all allergies:
List of all allergies
Please fill allergies
Does your child have an EPI pen?
Yes
No
Please Select Epi pen
Does your child take medication regularly?
Yes
No
Please Select medication
Please specify:
Please fill medication
Please specify any social, emotional, or medical problems that the school should be aware of:
Terms and Conditions
I agree to Terms and Conditions
