Age 4 PM Program
2025/2026
Tuesday and Thursday
12:45 pm to 2:45 pm
Step 1: Child's Information
2
Step 2: Parent #1 Information
3
Step 3: Parent #2 Information
4
Address Information
5
Final Step: Terms and Payment Options
Child's First Name
*
Child's Last Name
*
Child's Birth Date
*
Child's Gender
*
Male
Female
Other
Child's Health Card Number
*
Are there any health concerns for your Child?
*
Parent #1 First Name
*
Parent #1 Last Name
*
Parent #1 Phone Number
Parent #1 Email Address
*
Parent #1 Facebook Profile Name (for Facebook Parent Page)
Parent #2 First Name
Parent #2 Last Name
Parent #2 Phone Number
Parent #2 Email Address
Parent #2 Facebook Profile Name (for Facebook Parent Page)
Do all family members reside at the same address?
*
Yes
No
House/Apartment Number
Street Name
Town/City
Postal Code
First House/Apartment Number
First Street Name
First Town/City
First Postal Code
Second House/Apartment Number
Second Street Name
Second Town/City
Second Postal Code
By Selecting this, you agree to follow the Busy Fingers Preschool Handbook / Policy / Rules?
*
Yes
Would you like to join the Busy Fingers Preschool Board?
*
Yes
No
Maybe
Are you a new Co-Operative Member?
*
Yes ($5.00 Fee Applies)
No
Pay deposit by Credit Card
*
Yes
No
Credit Card Type
Mastercard
Visa
Credit Card Number
Credit Card Expiry Date
Name as it appears on card
Credit Card CVC
Payment Amount
Date
Credit Card Billing Address
Credit Card City
Credit Card Province
Credit Card Postal Code
Credit Card Country
Credit Card Phone Number
Credit Card Email
Do you authorize Busy Fingers to charge the $50 deposit to the above credit card?
Yes
No
Do you understand that your registration is not final until a deposit is made to us with credit card? (Contact us if you need another way to pay)
*
Yes
I would like to be added to the waistlist for the Age 4 Morning program
*
Yes
No