Program Registration Form V3 Adult Adult Name * Name First First Last Last Email * Phone * Have you submitted an Annual Registration Form during the past 12 months? * Yes No 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 * Program Request Location * Antrim Site Apsley Site Bridlewood/Harper Park Facebook Post Jackson Park John Taylor Memorial Park Lakefield Site Newhall Neighbourhood Park Norwood Site Norwood Town Hall Online-Virtual Programs Otonabee Valley Site Program Name * Bouncing Babies Breastfeeding Basics Breastfeeding & Well Baby Clinic Breastfeeding & Well Baby Meetup Curious Connections Families in the Kitchen Family Play to Learn Feeding Your Baby Footsteps to Parenting Infant Family Play to Learn Infant Massage Let's Connect Let's Talk About Sleep, Baby! Library Loose Parts in The Park Make It Mondays Me & My Dad Move & Groove Parent Child Mother Goose Roots of Discovery Bridlewood/Harper Park Roots of Discovery Jackson Park Sensory Artists Show & Share Song and Signs South End Sing Along Story & A Song Tall Tales Triple P One-On-One Triple P Preparing Your Toddler f/a New Baby Triple P Seminar Series Triple P Toddlers and Tantrums Virtual Circle Time Weekend Wake Up Wiggles Date * Add another program Comments / Questions If you are human, leave this field blank. Submit
