Please complete a separate form for each child you are applying for
School Year Applying For
Surname
First Name
Middle Name
Date of Birth
Gender SelectMaleFemale
Address
City
Postal Code
Please Check Program Applying For:
Primary
Toddler Half-Day A.M.Toddler Full-DayCasa Half-Day A.M.Casa Half-Day P.M.Casa Full-Day
Lower Elementary
Grade 1Grade 2Grade 3Grade 4
Upper Elementary Grade 5Grade 6Grade 7Grade 8
Home Number
Mother's Name / Guardian Name
Relationship (if Guardian)
Occupation
Business Number
Email Address
Cell Phone
Father's Name / Guardian Name
Child's Position in the Family
Siblings
Parent / Guardian Signature
Date
How did you find out about Wheatley? FriendParent (Current / Previous Student)BrochureWebsiteAdvertisementRecruiting FairBillboard
Reasons for choosing Wheatley
We use cookies to improve your browsing experience on our website. By closing this banner or interacting with our site, you acknowledge and agree to our privacy policy.