Online Registration – Winkler Family Resource Centre

Parents Name (or caregiver that will attend program) *

First

Last

Email *

Email

Confirm Email

Is this your first time registering for this program? *

Yes
No

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

How many children are you registering? *

1
2
3
4

Child #1 Name *

First

Last

Child #1 Birthday *//

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

Plum Coulee

Kit & Kaboodle Messy Little Critters

WFRC - Monday to Thursday Programs (option 1)

Art Attack - Monday
Wiggle Giggle Munch - Tuesday
All Aboard the Number Train - Wednesday
Rhythm & Rhymes - Thursday

WFRC - Monday to Thursday Programs (option 2)

Art Attack - Monday
Wiggle Giggle Munch - Tuesday
All Aboard the Number Train - Wednesday
Rhythm & Rhymes - Thursday

Due to COVID-19 there will not be childcare at this time. We will have a few extra staff and volunteers to help with infants and younger children.

Yes
No

Childcare Name

First

Last

Childcare Age

Child #2 Name

First

Last

Child #2 Birthday *//

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

Plum Coulee

Kit & Kaboodle Messy Little Critters

WFRC - Monday to Thursday Programs (option 1)

Art Attack - Monday
Wiggle Giggle Munch - Tuesday
All Aboard the Number Train - Wednesday
Rhythm & Rhymes - Thursday

WFRC - Monday to Thursday Programs (option 2)

Art Attack - Monday
Wiggle Giggle Munch - Tuesday
All Aboard the Number Train - Wednesday
Rhythm & Rhymes - Thursday

Due to COVID-19 there will not be childcare at this time. We will have a few extra staff and volunteers to help with infants and younger children.

Yes
No

Childcare Name #2

First

Last

Childcare Age #2

Child #3 Name *

First

Last

Child #3 Birthday *//

Child #3. If there are any Medical concerns or Allergies, please let us know.

Plum Coulee

Kit & Kaboodle Messy Little Critters

WFRC - Monday to Thursday Programs (option 1)

Art Attack - Monday
Wiggle Giggle Munch - Tuesday
All Aboard the Number Train - Wednesday
Rhythm & Rhymes - Thursday

WFRC - Monday to Thursday Programs (option 2)

Art Attack - Monday
Wiggle Giggle Munch - Tuesday
All Aboard the Number Train - Wednesday
Rhythm & Rhymes - Thursday

Due to COVID-19 there will not be childcare at this time. We will have a few extra staff and volunteers to help with infants and younger children.

Yes
No

Childcare #3 Name

First

Last

Childcare #3 Age

Child #4 Name *

First

Last

Child #4 Birthday *//

Child #4. If there are any Medical concerns or Allergies, please let us know.

Plum Coulee

Kit & Kaboodle Messy Little Critters

WFRC - Monday to Thursday Programs (option 1)

Art Attack - Monday
Wiggle Giggle Munch - Tuesday
All Aboard the Number Train - Wednesday
Rhythm & Rhymes - Thursday

WFRC - Monday to Thursday Programs (option 2)

Art Attack - Monday
Wiggle Giggle Munch - Tuesday
All Aboard the Number Train - Wednesday
Rhythm & Rhymes - Thursday

Due to COVID-19 there will not be childcare at this time. We will have extra staff and volunteers to help with infants and younger children.

Yes
No

Childcare #4 Name

First

Last

Childcare #4 Age

Photo Consent *

I consent
I do not consent

From time to time WFRC takes pictures for newsletters, our website, funding opportunities and our Facebook Page. Do we have your permission to use photos with your child or children in them?

Session Dates