Child's Full Name*

Age*

Allergies / medical conditions*

Does your child require any special accomodations

Parent / Guardian Full Name*

Relationship to child*

Parent / Guardian Phone Number*

Parent / Guardian email address*

Emergency Contact Name (in addition to person listed above)*

Relationship to Child*

Emergency Contact - Phone Number*

Authorized Pick Up List (in addition to those listed above)

In case of emergency, I authorize iheartcrafts.ca staff to administer basic first aid (if needed) and/ or contact emergency services (911)*

Yes, I authorize

I consent to my child’s photos/videos being used for iheartcrafts.ca promotional purposes, including social media, newsletters, or website.*

Yes

No

I understand that the fee is $88 + HST and registration is only confirmed once payment is received.*

Yes, I understand

4 Week Extra Curricular Arts & Crafts Registration Form

Fossil Hill Public School

If your child is not a student at the School listed above, please email us for the correct registration link

iheartcrafts.ca@gmail.com