After School Club Registration

1
What type of attendance?* This field is required.
Drop-in (attendance today only)
Drop-in (future single day)
Regular scheduled or multiple attendance
2
You've chosen Drop-in Attendance forPlease note we are only available on Monday to Thursday.
Today's date
Month
Day
Year
3
You've chosen Drop-in for a future datePlease select the desired date below. Please note we are only available on Monday, Tuesday and Wednesday.
Date
Year
Month
Day
4
List the dates your child will attend.* This field is required.Remember, the Club is CLOSED all statutory holidays and non-instructional days; please keep this in mind when listing dates. When in doubt, check the website calendar before form submission.
Huge
Large
Normal
Small
Ok
Ok
5
Child's Name* This field is required.
First Name
Last Name
6
Child's Grade* This field is required.
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
7
Does this child have allergies?* This field is required.
YESNO
8
Please list all allergies below.* This field is required.
9
Does this child take any medication?* This field is required.
YESNO
10
Please list any applicable medication.* This field is required.
11
Are there any alerts or other helpful information you'd like to give?
12
Who will be picking up your children? Please give all names, phone numbers, and relationships to children.* This field is required.
If this information changes, please notify the school office immediately: 250-339-1200.
13
Terms and Conditions* This field is required.Registration of your child is required through our website in advance of participating in the After-School Club. Hours of Operation Monday to Friday on instructional days only Runtime: 2:45-5:15 pm Club Fees $20/day rate for scheduled and drop-in attendance The cost per day is the same for 1 hour or 2-1/2 hours. No financial assistance is available. Cancellation When your child is unable to attend for any reason on a registered club day, there will be no reimbursement or exchanges as payment of scheduled staff occurs whether your child attends or not. Drop-in fees will not be reimbursed.
14
Parent/Guardian * This field is required.
First Name
Last Name
15
Email* This field is required.
example@example.com
16
Phone Number* This field is required.
example: 250-123-4567
Should be Empty: