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    Art Ad. Registration Final Word

    Uploaded by

    EmmaChalifour
    This document contains a registration form and parental consent form for the UVic Family Centre's Art Adventures program. It requests the child's name, age, birthdate, address, phone number, emergency contact information, doctor's name and phone number, and any allergies. It states that children must have completed kindergarten to attend. The parent consents to their child's participation and agrees to be available by phone for the duration of the program in case of emergency or if the child needs to be picked up. The parent also authorizes the Family Centre staff to seek medical attention for the child if injured and the parent cannot be contacted.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Art Ad. Registration Final Word

    Uploaded by

    EmmaChalifour
    17 views2 pages
    This document contains a registration form and parental consent form for the UVic Family Centre's Art Adventures program. It requests the child's name, age, birthdate, address, phone number, emergency contact information, doctor's name and phone number, and any allergies. It states that children must have completed kindergarten to attend. The parent consents to their child's participation and agrees to be available by phone for the duration of the program in case of emergency or if the child needs to be picked up. The parent also authorizes the Family Centre staff to seek medical attention for the child if injured and the parent cannot be contacted.

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    art ad. registration final word.docx

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    This document contains a registration form and parental consent form for the UVic Family Centre's Art Adventures program. It requests the child's name, age, birthdate, address, phone number, emergency contact information, doctor's name and phone number, and any allergies. It states that children must have completed kindergarten to attend. The parent consents to their child's participation and agrees to be available by phone for the duration of the program in case of emergency or if the child needs to be picked up. The parent also authorizes the Family Centre staff to seek medical attention for the child if injured and the parent cannot be contacted.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    17 views2 pages

    Art Ad. Registration Final Word

    Uploaded by

    EmmaChalifour
    This document contains a registration form and parental consent form for the UVic Family Centre's Art Adventures program. It requests the child's name, age, birthdate, address, phone number, emergency contact information, doctor's name and phone number, and any allergies. It states that children must have completed kindergarten to attend. The parent consents to their child's participation and agrees to be available by phone for the duration of the program in case of emergency or if the child needs to be picked up. The parent also authorizes the Family Centre staff to seek medical attention for the child if injured and the parent cannot be contacted.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Art Adventures

    UVic Family Centre Registration Form


    Name: _________________________________________
    Age: __________________________________________
    Birthdate: ______________________________________
    Address: _______________________________________
    ______________________________________________
    Telephone Number: ______________________________
    Emergency Contact (Name):________________________
    Phone Number: __________________________________
    (Alternate Contact)
    Doctors Name: _________________________________
    Doctors Phone Number: __________________________
    ALLERGIES (Be Specific): ________________________
    Care Card Number: _____________________________
    CHILDREN MUST HAVE COMPLETED KINDERGARTEN TO ATTEND
    I consent to have my child participate in the Uvic Family Centres Art Adventures
    Program.
    ____________________________________
    (PARENT / GURADIANS SIGNATURE)

    _______________________
    (DATE)

    ________________________________________________

    (Please print Parents Name)

    PARENTAL CONSENT FORM


    For Family Centre Art Adventures Program
    WAIVER/RELEASE
    I agree that my child will follow all reasonable instructions and directions from the
    program leaders.
    I hereby release, remise, and forever discharge the UVic Family Centre, its agents,
    volunteers, and staff of and from all manner of actions, cause of actions, claims, and
    demands of whatever nature which result from accident, injury, loss, or expense
    sustained, arising out of or in any way connected with participation or attendance at
    any location operated by the UVic Family Centre.
    I agree to be at home and available at the phone number provided on the registration
    form for the duration of my childs participation in the Family Centres program
    (Tuesday afternoons from 1:30-4:00pm). If I am not available, the Family Centre
    should contact the Emergency contact person I have provided.
    This is required of me in case of emergency or if my child is required to go home for
    misbehaving.
    In the event that my child is injured, ill, or in need of medical attention and I am
    unable to be contacted, I authorize the UVic Family Centre staff to seek medical
    attention on my behalf.
    Signature:____________________________________________
    Date:________________________________________________

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