After School Registration

Registration is now open.

Click the red button at the bottom of the page to fill out the appropriate registration contract.
Once the registration papers have been submitted, within 10 business days you will receive an email with confirmation of a spot if available.
Once you receive confirmation please go under Fees and then Registration Fee to pay $100 registration fee.
Once you have paid the registration fee you will receive confirmation of your spot.

After School Care Registration

Please select an after school option:*
- Mon to Fri After School Care Only
- Mon, Wed, Fri After School Care Only
- Tues, Thurs After School Care Only
I will also require the following care:
- Care during Pro-D Days (8:00 - 17:30)
- Care during Christmas (8:00 to 17:30)
- Care during Spring Break (8:00 to 17:30)
Please tell us what school your child/childern go to, and what grade they are in:*
Registration Date:*
MM slash DD slash YYYY
Contract Day End:*
MM slash DD slash YYYY
Please list all Childerns First and last name, Gender, and Birthdates, one on each line.*
Childrens First Language:*
Parent/Guardian:*
First Last
Workplace:*
Best Phone Contact:*
Parent/Guardian 2:
First Last
Workplace:
Best Phone Number:
Contact Email:*
Doctor's Name:*
First Last
Doctor's Phone:*
Child's Care Card Number:*
Does the child have any allergies?*
If yes, please fully describe:
Does the child take special medications?*
If yes, please describe:
Does the child have any other known health problems we should be aware of? If so, please describe:
Is the child's immunizations up to date?*
If your child is not immunized, your child may be asked to remain home if there is a specific outbreak for which he/she is not immunized. If no immunization record is provided, the child will be considered not immunized.
Vision Problems?*
Hearing Problems?*
Speach or Language Problems?*
If the child does not reside with both parents, please indicate who the child normally resides with:
Please provide a scan of the custody agreement if there is one in place.
Max. file size: 256 MB.
What is your family rule about resolving conflicts at home?*
Emergency Contact AND Approved Pickup Person One:*
First Last
Emergency Contact AND Approved Pickup Person One Phone:*
Relation?*
Emergency Contact AND Approved Pickup Person Two:
First Last
Emergency Contact AND Approved Pickup Person Two Phone:
Relation?
Approved Pickup Person One: (Not to be called in case of emergency)
First Last
Approved Pickup Person One Phone:
Approved Pickup Person Two: (Not to be called in case of emergency)
First Last
Approved Pickup Person Two Phone:
Person(s) not permitted access to child:
* Staff will NOT ACTIVELY intervene in this situation. Staff will inform person they are not permitted access and staff will inform authorized parent/guardian and police if necessary.
Please be sure to download or retrieve a parent handbook from Appletree Childcare.
Signature of Parent or Guardian:*
By signing you agree to all the terms of care at Appletree (handbook) and that all info is factual and correct.
Signed on this date:*
MM slash DD slash YYYY
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