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VVCP Registration
After filling in this form and paying the registration fee, our registrar will email you for further details and final confirmation of a spot for your child.

Please complete a form for each child that you will be registering.
Registering for which school year*
- 2026/27 (upcoming school year)
First Choice *
- M-F Mornings
- M/W/F Mornings
- Tues/Thurs Mornings
Second Choice*
- M-F Mornings
- M/W/F Mornings
- Tues/Thurs Mornings
Child's Gender*
- Male
- Female
Can your child use the bathroom independently (potty trained, no pull-ups)?*
- Yes
- No
Does your child have a Medical Diagnosis?*
- Yes
- No
Are you anticipating a Medical Diagnosis?*
- Yes
- No
Please specify any medical services your child has been referred to:*
- Autism Services
- Occupational Therapist
- ABCDP/KCC
- Social Services
- Speech-Language Pathology
- Open Door Society
- N/A
Are you interested in becoming a board member?*
- Yes
- No
How did you hear about VVCP?*
- Returning family
- Website
- Flyer
- Social media
- Friend referral
Registration Fee
- Registration fee for VVCP (non-refundable)
  C$50.00
Total Price

Your Company Name

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Address

[email protected]
800-555-0101
yoursite.com

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