Online Registration – Winkler Family Resource Centre

Priority Program *

“Toddler Shenanigans” with Ms. Chrissy, ages 2-5 (Tuesdays, 9:30-11, Sept 15 – Oct 20)
“Kit & Kaboodle: Storybook Adventures” with Ms. Chrissy, ages 2-5, (Wednesdays, 9:30-11, Sept 16 – Oct 21)
“Breastfeeding Class” with Two Peaks Consulting, for expecting moms (Monday Sept 21, 10 – 11:30)

Please choose your first pick for a program.

Second Choice Program

“Toddler Shenanigans” with Ms. Chrissy, ages 2-5 (Tuesdays, 9:30-11, Sept 15 – Oct 20)
“Kit & Kaboodle: Storybook Adventures” with Ms. Chrissy, ages 2-5, (Wednesdays, 9:30-11, Sept 16 – Oct 21)
“Breastfeeding Class” with Two Peaks Consulting, for expecting moms (Monday Sept 21, 10 – 11:30)

Please choose your second choice for a program. Please note this will not guarantee you a spot, but increases your chances of getting in should there be waitlists.

How many children are you registering to take part in the program? *

1
2

Child #1 Name *

First

Last

What does your child prefer to be called?

Child #1 Birthday *

If there are any medical concerns or allergies or anything you would like us to know about your child, please let us know.

Child #2 Name *

First

Last

What does your child preferred to be called?

Child #2 Birthday *

Child #2. If there are any Medical concerns or Allergies, please let us know.

Who will attend the program? *

Parent/Guardian
Caregiver

Parent/Guardian's Name *

First

Last

Parent/Guardian's Phone *

Attending Caregiver's Name *

First

Last

Relationship to Child *

Contact Email *

Email

Confirm Email

Contact Phone *

What is the city/town/village you reside in? *

Will you be bringing a younger sibling along to the program? *

Yes
No

This 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?

1
2

Younger Sibling's Name

First

Last

Younger Sibling's Birthday

Second Younger Sibling's Name

First

Last

Second Younger Sibling's Birthday

Photo Consent *

I consent
I 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 Expectations