Please fill out the form below to submit your registration for 4Pillar Early Learning Centre. 

All new registrations will require an orientation prior to starting childcare. We ask families to be as thorough in their registration as possible – the more information about your child that we have, the better we will be able to help them grow, flourish and make friends! 

If you are unable to complete the form online, please email us at, and we will be happy to arrange an email copy, or a paper copy for you to pick up in person. 

Thank you!


Child's Personal Information


Guardian Information


Medical Information


Alternate Pick-up Persons:


Persons Not Permitted to Access Child


About Your Child:


Additional Details: