Registration

Let’s get to know each other a little more so we can get ready for school!

Welcome to Saint Boniface!

Child's Name *

First

Middle

Last

Date of Birth *

Age *

Gender *

Boy
Girl

Are they already fully potty trained at this point? *

We will work with your child for transitioning to potty use. We can discuss options with you.

Mornings or Full Day Schedule *

Janet will be happy to discuss and modify this with your child as they progress. The program works best with full day and five days a week for consistency and growth.

Parent or Guardian's Name *

First

Last

Relationship to Child *

Parent or Guardian's Name *

First

Last

Relationship to Child *

Email *

Phone *

Is this a mobile number? *

Yes
No

Address

Address Line 1

Address Line 2

City

State

Zip Code

Comment or Message *

Email

Registration

Welcome to Saint Boniface!

See you soon!