Summer School Program RegistrationWaitlist Registration Form - Summer School Program Parent/Guardian Name* First Last Phone*Email* Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Add additional parent/guardian contact information?* Yes NoParent/Guardian Name First Last PhoneEmail Please list all children requiring childcare*Click on the + symbol to add children.NameDate of Birth Allergies or extra care required (please specify)Anticipated Start Date*Month and yearDays Requested (Estimated)* Monday Tuesday Wednesday Thursday FridayApproximate Time on MondaysBetween 7:00 and 5:00pmApproximate Time on TuesdaysBetween 7:00 and 5:00pmApproximate Time on WednesdaysBetween 7:00 and 5:00pmApproximate Time on ThursdaysBetween 7:00 and 5:00pmApproximate Time on FridaysBetween 7:00 and 5:00pmAdditional comments/questionsPhoneThis field is for validation purposes and should be left unchanged.
