Program Registration Form - Peterborough Child & Family Centres

Program Registration Form V3

Adult

Adult Name

First

Last

Phone

Children

Number of children attending programs

Child

Child's Name

First

Last

Date of birth

Child

Child's Name

First

Last

Date of birth

Child

Child's Name

First

Last

Date of birth

Child

Name

First

Last

Date of birth

Program Request (Please, allow one full business day for processing)

Program Name

Date

Add another program

Comments / Questions

Check out our Fall Calendar . Click on the "Open Your KeyOn Account HERE" button below (on a cell, click the = on the top right of your screen, for the menu), in the new window, scroll down to "Become a Member" to create your KeyOn account. When possible, please create your account prior to attending programs. Remember, PCFC staff is here to assist you and answer any questions you may have.