Pre-School Virtual Program – 2021 Spring

Please note: Selected programs require a 6 participant minimum to run. Participants who have pre-registered will be contacted to make payment once the program has reached the minimum capacity.

Pre-School Virtual Program

Program Hours and Fees

Programs / Dates *

Tots and Me Creative Dance – Sunday – March 28 to June 20 – $62.00

Ballet and Fairy Tales – Saturday – March 27 to June 19 – $62.00

Fee *

Requesting Subsidy

Yes

This is a pre-registration only.
Program fees will be collected via Paypal.com (accepting credit card) during first week of the class. You do not need to have or required to open a Paypal account.

Payment Method *

Online

via Phone

Please select “via Phone” for credit card payment over the phone or other payment method.

Personal Information

Waterfront Neighbourhood Centre Membership Number

Please fill in your membership number (optional).

Child/Ward Name *

Date of Birth *

Address *

Address

City

Province

Zip/Postal

Parent/Guardian #1

Name *

Home Phone *

Work/Cell Phone *

Email *

Parent/Guardian #2

Name

Home Phone

Work/Cell Phone

Emergency Contacts

Emergency contacts provided must be someone other than the parent/guardian listed above e.g. sibling (must be 12yrs and up), grandparent, aunt or friend.

Emergency Contact #1

Name *

Phone *

Emergency Contact #2

Name

Phone

Emergency Contact #3

Name

Phone

WNC Policies

I hereby release the Waterfront Neighbourhood Centre (WNC) and all persons employed by or associated with the WNC from all claims and causes of action resulting from the participation of my child/ward in the WNC Children’s Program.

Media Release Policy:

I hereby agree and give my permission for my child/ward to be:

Audiotaped, filmed, interviewed, photographed, recorded and/or videotaped and to have this material/work – in part or in whole – displayed, published and/or distributed through the media of film, multi-media presentations, radio, social media sites, television, printed or display form.

I understand that the material/work may appear in electronic format on the internet or in other publications outside the control of the above-named agencies/partners/people. I agree that I will not hold the above-named responsible for any harm that may arise from such unauthorized reproduction.

I hereby waive any right to approve the use of this material/work now or in the future, whether that use is known to me or unknown, and I waive any rights to any royalties related to the use of the material/work.

I understand the release/permission information provided and give my permission as set above for my child/ward.

Child Abuse Policy:

All staff at Waterfront Neighbourhood Centre is required by law to report to Children’s Aid Society (CAS) if they are concerned for the well-being of a child. If CAS is called, the parent/guardian will be notified according to directions from the CAS worker. If abuse is suspected and medical attention required, the parent/guardian will be notified according to the direction from CAS.

By signing this Permission Form I agree to all of the WNC Policies and Permissions noted on this document.

Parent/Guardian Signature *

Clear

Parent/Guardian Name *

Date

The personal information on this form is collected under the authority of the City of Toronto Act, 2006, and Art. XI of Ch. 169 of the Toronto Municipal Code. The information is used for the purpose of registration, emergency contact, communication, subsidy allocation and aggregate statistical reporting. Questions about this collection can be directed to Natasha Francis, Executive Director (Acting), Waterfront Neighbourhood Centre, 627 Queens Quay West, Toronto, ON, M5V 3G3

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