Trick or Treat: Planet of Treats

Trick or Treat: Planet of Treats

This form is exclusive for active patients of Progress Child Development Center.
Pre-registration period: October 1, 2024 - October 27, 2024
What: Trick or Treat
When: October 29, 2024 (Tuesday)
Time: By Appointment (per batch)

REMINDERS/GUIDELINES
- Each patient may bring one (1) child companion for a fee of Php 100 (active patients of the Center and employees of NAH and PMSI are FREE)
- 1 kid : 1 adult companion only
- Our theme is GALAXY/OUTER SPACE, but you may come in any costume.
- This is a come & go event. No formal program will be held.
- The facility has limited parking slots, but you may park at Jollibee Roligon or Ed and Joe's (in front of Nichols Airport Hotel) for a fee
- There will be NO therapy sessions on the day of the event (October 29, 2024)
- The Center will be CLOSED on November 1 (Friday) - November 3 (Sunday)
- Clinic operations will resume on November 4, 2024 (Monday)
Name of the Patient/Employee*

First NameLast Name
Check ALL services currently availed in the Center:*

Occupational Therapy (OT)Speech Therapy (ST)Special Education (SpEd)Play SchoolNot Applicable (I am a Staff/Employee.)
Active Mobile Number of the Patient's Parent/Guardian*
Please enter a valid phone number.
Please select your preferred time slot for the Trick of Treat. ONE TIME SLOT per patient only.

Multiple slots will automatically cancel your registration.
9:00 AM
10:30 AM
1:30 PM
2:30 PM
3:30 PM
FOR STAFF & EMPLOYEES ONLY
Will you bring an additional child companion?

YesNoNot Applicable (I am a Staff/Employee.)
Name of the Child Companion

First NameLast Name
Please pay the Php 100.00 registration fee of your companion.

GCASH - 09189389064 (E.M.B)
Proof of Payment

Please upload the screenshot / proof of payment here.
Cancelof
Should be Empty:

Trick or Treat: Planet of Treats

Pre-registration period: October 1, 2024 - October 27, 2024

Please select your preferred time slot for the Trick of Treat. ONE TIME SLOT per patient only.

Please pay the Php 100.00 registration fee of your companion.