Mountview Summer Program 2020
Parent/Guardian Registration

Contact Information:

* Denotes a mandatory field
Mr.Ms.Mrs.Dr.
*Parent/Guardian First Name: *Parent/Guardian Last Name:
*Mailing Address:

*City: *Province:
Country: *Postal Code:
*Daytime Telephone: Extension:
*Email Address:


Additional Questions:

* Do you have Provincial Subsidy?
* Is there a formal custody order in place?
* I hereby authorize Red Deer Child Care staff to apply sunscreen (provided by parents) on my child as needed.
* I hereby authorize Red Deer Child Care staff to apply insect repellant (provided by parents) on my child as needed.
* How do you currently pay your child care fees with Red Deer Child Care?
* If we currently have your credit card or EFT information on file, would you like to use this as your payment method for the holiday program? *Payment would be processed on the day that fees are due, as noted in your confirmation email.
* Registration information
I certify that the above information is correct and true to the best of my knowledge

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