KINDERGARTEN PROFILE

Gender: *
Preferred Program: *
Kindergarten 2019: The full and part time kindergarten choice is a preference only. While we do our best to place your child in the preferred program, due to current application levels your preference is not guaranteed.
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Younger Siblings:
Has your child attended a nursery and/or preschool program? *
 
Does your child have any difficulty with social adjustments? *
 

MEDICAL INFORMATION

Are your child's immunizations up to date? *
Can your child participate in a full Physical Education Program? (Note: Physician's note required to miss PE) *
 
Does your child have any of the following medical conditions: *
 
Are any of the above conditions life threatening? *
 
Does your child take medications? (If yes, Medical Consent Waivers are available at main office) *
 
Does your child require assistance in taking medications? (If yes, Medical Consent Waivers are available at main office) *

EDUCATIONAL SUPPORT SERVICES

Is English your child's first language? *
 
Is your child's current/prior schooling in any language other than English? *
 
Does your child have any difficulty with speech or language? *
Has your child received, or is your child receiving, Speech Language Therapy? Please attach copy of Speech Language Report. *
If you selected "yes" to the previous question...
If you answered "Language Development/Social Skills", please fill out the Education Support Services Form by clicking this link.  Educational Support Services
Has your child received, or is your child receiving, Occupational Therapy? *
Has your child received services through a Child Development Center? *
Does your child experience anxiety or behaviour issues? *
Does your child have any of the following: Autism, FASD, Cerebral Palsy, Prenatal Exposures?
If you answered "Yes", please fill out the Education Support Services Form by clicking this link.  Educational Support Services

CHILD CUSTODY

Has there been Social Services involvement regarding your child? *
 
Are there court orders regarding custody of your child? *
 

SIGNATURE

I/we understand that if space is not available in the preferred full or part time kindergarten program applied for, we will be offered space in the next available class which could be either full or part time. Available spaces are filled according to the date the completed application has been received by the LCS Central Office. For families new to LCS, acceptance will be confirmed after an admissions interview. *
Signed by parent/guardian *
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