Program Registration Form V2 Adult Adult Name * Name First First Last Last Email * Phone * Have you submitted an Annual Registration (Intake) and/or Covid-19 Acknowledgement Form since September 1st, 2020? * Intake Covid-19 Acknowledgment No If you answered "Yes to both, please complete the remainder of the form. If you answer "Yes" to only the Intake and you wish to attend ONLY virtual programs, please complete the remainder of the form. If you answer "Yes" to only the Intake and you wish to attend in-person programs, stop here. You will receive an email with the link for the Acknowledgement form (you CANNOT attend in-person programs without it). Program Request Location * Antrim Site Apsley Community Centre Park, Norwood Facebook Post Harper Park Isabel Morris Park Jackson Park Lakefield Community Garden Mill Pond Forest Trails Newhall Park Online-Virtual Programs Program Name * Date * Add another program Children Number of children attending programs * 0 1 2 3 4 Child Child's Name * Child's Name First First Last Last Date of birth * Child Child's Name * Child's Name First First Last Last Date of birth * Child Child's Name * Child's Name First First Last Last Date of birth * Child Name * Name First First Last Last Date of birth * Comments / Questions If you are human, leave this field blank. Submit
