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After & Before School Program Registration
Winter Holiday STEAM Camp
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Home
Programs
After & Before School Program Registration
Winter Holiday STEAM Camp
Contact Us
PA Day:
$75 per session
June 3rd, 2022 & June 6th, 2022
Full Day from 9-4
Cost $75 HST
17 kids total
DIY ideas.
Register for our PA day below
Application of Enrolment - PA Day
Part I - Parent/Guardian Information
PARENT/LEGAL GUARDIANS FULL NAME (First, Mi, Last) :
(Required)
TITLE (Mr. Ms. Doc. ECT.):
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Primary Phone:
(Required)
Secondary Phone:
Email
(Required)
Emergency Contact Name
(Required)
First
Last
Relationship
(Required)
Phone
(Required)
Family Doctor - Name
(Required)
First
Last
Family Doctor - Phone
(Required)
Child #1 Information
Child's Name
(Required)
First
Last
Sex
(Required)
Male
Female
Date of Birth
(Required)
MM slash DD slash YYYY
Grade
(Required)
Languages Spoken at Home
Health Card Number:
(Required)
May we photocopy the Health Card
(Required)
Yes
No
Medical and Allergy Information
(Required)
Child #2 Information
Child's Name
First
Last
Sex
Male
Female
Date of Birth
MM slash DD slash YYYY
Grade
Languages Spoken at Home
Health Card Number:
May we photocopy the Health Card
Yes
No
Medical and Allergy Information
Child #3 Information
Child's Name
First
Last
Sex
Male
Female
Date of Birth
MM slash DD slash YYYY
Grade
Languages Spoken at Home
Health Card Number:
May we photocopy the Health Card
Yes
No
Medical and Allergy Information
Select Your Camp
Leo Baeck Day School (June 6th)
Regular TSBD (June 3rd)
PA Day Fee
(Required)
Price:
$ 75.00 CAD
Quantity:
Please enter the number of camps you are purchasing
Consent
I agree to the privacy policy.
Participation Agreement.
BeKids Toronto takes seriously the safety of the children and youth who participate in its programs. It is important that all participants and, as applicable, their parent/guardians, understand the nature of the activities involved in the programs they are registered for, and the terms and conditions upon which BeKids Toronto provides these programs. Please make sure you read this Authorization and Release Form and the Program Outlines carefully. If you have any questions about a program, you are encouraged to contact BeKids. Once you have reviewed this information, please complete this form, sign it below and provide it to the Program Leader/Instructor on the first day of the program. By signing this form, and in consideration of BeKids Toronto’s agreement to the participant into the program, you confirm and agree as parent/guardian for the participant, to accept and comply with the following terms:
Safety Policy - Participants must be delivered to their program and signed in and out by an Authorized Person(s) except in the case of Afterschool pick up where participants are picked up from their school. Only Authorized Person(s) that have been listed on a participants registration form can sign a participant in or out of a program. Alternate arrangements can be made for participants aged 12 years and older. BeKids Toronto assumes no responsibility for the care or supervision of the participant before he/she is signed in, or after he/she is signed out by the Authorized Person(s).
Please initial if you wish to authorize a minor participant aged 12 years and over to sign him/herself in or out.
By initialing above, I confirm that the participant is aged 12 years or older, and I authorize the participant to sign him/herself in and out of the program. I acknowledge that BeKids Toronto reserves the right upon verbal or written notice to withdraw this privilege, and require that the participant be signed in/out by an Authorized Person.
For Internal Use: Approved by: __________________________ Approval Communicated to Parent/Guardian:_____________________________
Disclosure of Risk - I understand that all of the sports and other programs described in the program outlines may involve indoor and outdoor activities. While it is highly anticipated that the risk arising from such activities should be relatively minor, such as the risk of scrapes, cuts, bruises, sprains, strains, possible broken bones or illness, it is possible that more serious unforeseen injuries, illness, or loss may arise from these activities, from the use of equipment or from the actions of the participants or other people, including negligent actions.
Medical Authorization - In the event of any accident or illness affecting the participant, I authorize BeKids Toronto, and it’s Program Leader/Instructors, employees and agents to authorize, on my behalf, and according to their best judgment, any procedures, including admission to hospital and any necessary treatment for the care and well-being of the participant. This authorization will be exercised only when BeKids Toronto is unable to contact me or circumstances require that immediate action be taken or care be delivered.
Condition of Participant - I have fully disclosed to BeKids Toronto any fact or circumstance known to me that might prevent the participant from being able to safely participate in the program, including all medical conditions, allergies or other conditions, and understand that I have a continuing obligation to make such disclosures for the safety of the participant.
Personal Property - I understand that participants are solely responsible for the care and security of any personal items that they take or bring with them to program activities. By signing this form, I agree that I will not hold BeKids Toronto responsible for any loss, theft or damage to my personal items and to those of the participant. Insurance coverage for personal items is optional and solely my responsibility.
Inappropriate Conduct - I understand and agree that BeKids Toronto reserves the right, at any time, immediately on notice and without any obligation to refund any program fees or expenses, to refuse to permit the continued participation in a program of any participant who acts in violation of BeKids Toronto Code of Conduct or whose continued participation endangers their own health and safety or the health or safety of any other person. I have been provided with a copy of the Code of Conduct and agree to be bound by its terms. I further understand and agree that BeKids Toronto assumes no responsibility or liability arising from any participant’s own negligent or intentional wrongful conduct or the negligent or intentional wrongful conduct of the parent/guardian of any participant.
Payment Method
PayPal Checkout
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
Total
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