Registration  Form

Adult Program Registration (complete even if only registering children)
Name
Name
Name
Name
Phone
Phone
Address
Address
To register children, complete the items below. Complete (*) items only if different from the adult’s.
Children's Program Registration (pre-school to grade 6)
Name #1
Name #1
Name #2
Name #2
Name #3
Name #3
Name #4
Name #4
Phone(*)
Phone(*)
Address(*)
Address(*)