JR Wilcox After School Program 2024/25

Little Hoopers Tuesday and Thursdays 3:30-4:30

{Tuesdays Grades 2-4 October 15th-December 9th 2024} {Thursdays JK - Grades 1 October 17th 2024 - December 12th 2024} (9 WEEKS) Total cost: $203.40
Athlete Information
Child's Name*

First NameLast Name
Guardian / Parents Names*

First NameLast Name
Guardian Cell Phone number

Area CodePhone Number
E-mail*
Teachers name and room number
Does your child attend the daycare after program?

yesno
Which session are you registering for?*

September 17-November 5th (Saturdays 8 weeks)November 12- January 14 (Saturdays 8 weeks)
Which session*

Tuesdays Grade 2 - 4 3:30-4:30Thursdays JK - grade 1 3:30-4:30
Emergency Contact & Health Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Health Card Number / Card Date
Does your child have any allergies, chronic illness, or medical conditions that would limit high level activtiy?*

YesNo
Please describe*
Parental Permission For Emergency Treatment In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to take my child to: I give consent for the facility to secure any and all necessary emergency medical care for my child.
Release of Liability I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against Little Hoopers and the persons in charge.
I have read and agree to the above conditions*

YesNo
Confirmation E-mail*
Signature*

Clear
Important Notes

· Fee: $180 + HST which is a total of $203.40 per participant for 9 weeks.

Pick up:

The session will begin at 3:30-4:30.

Please pick up your child at the main doors at 4:30. If your child attends the after school program please let them know your child will be in our program.

Also please inform your childs teacher that they will be doing this program.

JK and SK students will be picked up from their classes. All other students can wait outside the gym until Coach Markus arrives.

Please do not be late for pick up or your child may removed from the program. If a class needs to be cancelled it will be rescheduled.

Thank you!

Coach Markus 647 917 5572 please only contact if you will be late for pick up. Pick up will be outside door 1.

littlehooperstoronto@gmail.com for any questions or concerns
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Tuesdays grade 2-4 $203.40CAD

Thursdays JK-grade 1$203.40CAD

Total $0.00CAD

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Which time slot?*

10:00-11:00am beginner11:00am-12:00pm intermediate12:00pm-1:00pm advanced
Should be Empty:

Little Hoopers Tuesday and Thursdays 3:30-4:30