Itim̓úsem registration

Itim̓úsem registration
Participant name

First NameLast Name
Participant status number
Which age group/date are you signing up for?
Guardian name

First NameLast Name
Guardian email
example@example.com
Guardian phone number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is the guardian above the emergency contact?
If no, please put the child’s emergency contact info below.

First NameLast Name
Emergency contact email
example@example.com
Emergency contact phone number
Please enter a valid phone number.Format: (000) 000-0000.
Any dietary restrictions or allergies? Any medical conditions?
Any other notes or concerns?
What other programming would your children like to see? You can include ideas from your children outside of these age groups.
You will receive an email confirming your registration. You will then need to fill out the consent waiver provided.

Children will need to be dropped off at 10am and picked up at 4pm from the Language Nest at 100b Capilano Road.

We will provide snacks and drinks, but guardians will need to send children with their own lunches.

We look forward to hosting some fun summer days!
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