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. We are unable to process in person program requests until the completed registration package is returned to register@ptbocfc.ca

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 completed and returned a fall 2020 registration package (intake form, Covid Policy and Procedure acknowledgement form)

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