TIME WARP REGISTRATION 2026
Fill out the form carefully for registration
Child's Name
*
First Name
Last Name
Gender
Please Select
Male
Female
N/A
Age
Age Group (select one)
*
6-8 Years (9:30 am - 12 noon)
9-12 Years (1 - 3:30 PM)
Name of Parent/Guardian
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Emergency Contact
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Child
Back
Next
Registration Dates (if not registering for all sessions, please check all planned dates)
*
All Sessions (Thursdays, July 2 - August 20)
July 2
July 9
July 16
July 23
July 30
August 6
August 13
August 20
Please include any health issues (i.e. allergies) we should be aware of.
Include the name and number of other people who may pick up your child.
Photo Release - The Melfort & District Museum would appreciate if you would grant permission to take photographs and/ or videos of your child to use in promotions, fundraising, or other purposes.
*
Yes, I grant permission to take photos and/ or videos.
No, I do not grant permission to take photos and/or videos.
Signature
*
Date
*
-
Month
-
Day
Year
Date
Continue
Continue
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