Online Registration – Winkler Family Resource Centre

Parents Name (or caregiver that will attend program) *

First

Last

Email *

Email

Confirm Email

Phone *

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.

Morden Programs

Growing up Green - Wednesday
Program is full!

Plum Coulee (This program will be at WFRC outside EMC Church)

Program is full!

WFRC - Monday to Thursday Programs (option 1)

Program is full!
Growing up Green - Tuesday
Program is full

WFRC - Monday to Thursday Programs (option 2)

Program is full!
Growing up green - Tuesday
Program is full

Will a younger sibling will be attending program also?

Yes
No

Younger Sibling's Name

First

Last

Sibling's Age

Child #2 Name *

First

Last

Child #2 Birthday *//

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

Morden Programs

Growing up Green - Wednesday
Program is full

Plum Coulee Programs (This program will be outside WFRC at EMC Church)

Program is full!

WFRC Programs- Monday to Thursday Programs (option 1)

Program is full!
Growing up Green - Tuesday
Program is full

WFRC - Monday to Thursday Programs (option 2)

Program is full!
Growing up Green - Tuesday
Program is full

Will a younger sibling be coming along to the program?

Yes
No

Younger Sibling's Name #2

First

Last

Sibling's Age #2

Child #3 Name *

First

Last

Child #3 Birthday *//

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

Morden Programs

Growing up Green - Tuesday
Program is full

Plum Coulee Programs (This program will be outside WFRC at EMC Church)

Program is full!

WFRC Programs - Monday to Thursday Programs (option 1)

Program is full!
Growing up Green - Tuesday
Program is full

WFRC - Monday to Thursday Programs (option 2)

Program is full!
Growing up Green - Tuesday
Program is full

Will a younger sibling be coming along to the program?

Yes
No

Sibling's #3 Name

First

Last

Sibling's #3 Age

Child #4 Name *

First

Last

Child #4 Birthday *//

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

Morden Programs

Growing up Green - Wednesday
Program is full

Plum Coulee Program (This program will be outside WFRC at EMC Church)

Program is full!

WFRC Programs - Monday to Thursday Programs (option 1)

Program is full!
Growing up Green - Tuesday
Program is full

WFRC - Monday to Thursday Programs (option 2)

Program is full!
Growing up Green - Tuesday
Program is full

Will a younger sibling be coming along to the program?

Yes
No

Sibling's #4 Name

First

Last

Sibling's #4 Age

Photo Consent *

I consent
I do not consent

From time to time WFRC and MPCRC 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