Program Registration Form

If you have not already completed and returned a fall 2020 registration package please STOP where indicated and a package will be emailed to you. Once you have received a confirmation that your registration package has been processed, then you can register for in-person programs.

If you are registering for a virtual program you do not need to complete a registration package.

Adult

First name

Last name

Phone Number

Email Address

Have you received confirmation that your Fall 2020 Registration Package has been processed?”

Yes

If NO stop here and a package will be sent to you by email. This is for in person programs only.

If YES please continue with the remainder of the form. You will receive a confirmation email once your request has been processed.

Program Request 1

Location

Location of requested program

Program Name

Date

Please select the date the requested program runs

Program Request 2

*If required

Location

Location of requested program

Program Name

Date

Please select the date the requested program runs

Program Request 3

*If required

Location

Location of requested program

Program Name

Date

Please select the date the requested program runs

Program Request 4

*If required

Location

Location of requested program

Program Name

Date

Please select the date the requested program runs

Number of Children Attending Programs

Child

First name

Last name

Date of Birth

Comments / Questions

Program Registration Form