Tue, Sep 7 - Thu, Jun 30 2010
8:30am - 2:30pm

Location: 
Highland Park, Davie Jones, Hammond, Fairview, Glenwood, Eric Langton, Blue Mountain, Harry Hooge

 

Please complete the registration form below.

 

If you prefer, click here to download a copy of this registration form and mail or fax it to any of the schools listed above.
 

Please note: In addition to this registration form, you must also provide proof of age documentation which you should bring the first time you attend StrongStart.
 

Acceptable proof of age: Birth cerificate, Passport or Visa, Permananet Resident card, or other documents issued by Immigration Canada.
 

BC Health Care Cards are NOT considered identification for verification purposes.


 

Preferred Location

 


Student Information

 

Property Address

 

Previous StrongStart centres attended

 

 

Parent/Guardian 1

 

 

Parent/Guardian 2 (if applicable)

 

 

Caregiver/Emergency Contact

 

 

Caregiver/Emergency Contact 2

 

Medical Information

Does your child have any extra needs that may affect their participation? If yes, please specify: