Online Registration Please enable JavaScript in your browser to complete this form.Priority Program *“Creative Cooking” with Ms. Cassie, ages 4-5 (Tuesdays, 9:30-11, Nov 12 – Dec 17)“Elf Training School” with Ms. Crystal, ages 2-5 (Wednesdays, 9:30-11, Nov 13 – Dec 18)“Mindful Munchkins” with Ms. Chrissy, ages 3-5 (Thursdays, 9:30-11, Nov 14 – Dec 19)Please choose your first pick for a program.Second Choice Program“Creative Cooking” with Ms. Cassie, ages 4-5 (Tuesdays, 9:30-11, Nov 12 – Dec 17)“Elf Training School” with Ms. Crystal, ages 2-5 (Wednesdays, 9:30-11, Nov 13 – Dec 18)“Mindful Munchkins” with Ms. Chrissy, ages 3-5 (Thursdays, 9:30-11, Nov 14 – Dec 19)If there is not space in your priority program, you are okay with being placed in this program. Please note this does not guarantee a spot in either program.How many children are you registering to take part in the program? *12Child #1 Name *FirstLastChild #1 Birthday *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If there are any medical concerns or allergies, please let us know.Child #2 Name *FirstLastChild #2 Birthday *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child #2. If there are any Medical concerns or Allergies, please let us know. Who will attend the program? *Parent/GuardianCaregiverParent/Guardian's Name *FirstLastParent/Guardian's Phone *Attending Caregiver's Name *FirstLastRelationship to Child *Contact Email *EmailConfirm EmailContact Phone *What is the city/town/village you reside in? *Will you be bringing a younger sibling along to the program? *YesNoThis younger sibling won’t actively participate in the program due to their young age. This information helps us assess our child-minding needs for each program and plan accordingly.How many younger siblings?12Younger Sibling's NameFirstLastYounger Sibling's BirthdayMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Second Younger Sibling's NameFirstLastSecond Younger Sibling's BirthdayMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Photo Consent *I consentI do not consent (photos without my child’s face are okay)I do not consent (my child cannot be in photos at all)From time to time WFRC takes photos for our newsletters, our website, funding opportunities and our Social Media. Do we have your permission to use photos with you, your child or children in them? Please don’t hesitate to contact us if you have any questions or concerns!Program Expectations Caregivers are responsible for their children at all times. Caregivers must ensure their child is using materials and toys safely. Caregivers are responsible to guide their children through conflict with other children, or misbehaviour. WFRC does not tolerate repetitive destructive or aggressive behaviour. Please inform a staff member if there is an issue. If a participant is not able to meet these expectations, they may be asked to leave the program. I agree to WFRC’s Program ExpectationsCommentSubmit