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

Birthdate *//

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

Plum Coulee

😸 Kit & Kaboodle Learning With Pete the Cat

WFRC – Tuesdays

🎒 Ready Set Go
🛍 Busy Bags

WFRC – Thursdays

👴👵 Gifted Grandparents
🎵 Music With Cassie

Gym Program – Tuesdays

🏃 Fit Kids Healthy Kids

Childcare Required? *

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 Learning With Pete the Cat

WFRC – Tuesdays

🎒 Ready Set Go
🛍 Busy Bags

WFRC – Thursdays

👴👵 Gifted Grandparents
🎵 Music With Cassie

Gym Program – Tuesdays

🏃 Fit Kids Healthy Kids

Childcare Required for Child #2? *

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 Learning With Pete the Cat

WFRC – Tuesdays

🎒 Ready Set Go
🛍 Busy Bags

WFRC – Thursdays

👴👵 Gifted Grandparents
🎵 Music With Cassie

Childcare Required for Child #3? *

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 Learning With Pete the Cat

WFRC – Tuesdays

🎒 Ready Set Go
🛍 Busy Bags

WFRC – Thursdays

👴👵 Gifted Grandparents
🎵 Music With Cassie

Childcare Required for Child #4? *

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