Wee Lads & Lassies 2017
IMPORTANT TO NOTE - Please read prior to registering:

Registration and payment must be recieved by Monday, May 8th, 2017 to allow staff to prepare appropriately.

• Payment ($40/child, cash or cheque) must be submitted through mail or drop-box to secure child's place in the program.

• Mail-in payment: If you choose to mail-in payment, please pay by cheque only and make note of your child's name along with the cheque. Cheques can be mailed to:
Town of Antigonish Recreation
274 Main Street
Antigonish, N.S.
B2G 2C4

• Drop-box payments: Accepted in cash or cheque form, drop-box payments can be deposited in the metal slot at the right Main Street entrance of Town Hall. Please put the payment in an envelope marked with the child's name as well as "Recreation".

• Parents/guardians will be notified by email about the status of their child’s registration.

• If you have any questions, please contact recreation@townofantigonish.ca or 902-867-5596.

POSTER INFORMATION - REGISTRATION BEGINS BELOW
Child's First Name *
Your answer
Child's Surname *
Your answer
Child's Gender *
Child's Age (as of May 10th, 2017) *
Required
Please list any special needs requirements, allergies, and medical conditions: *
Your answer
Parent/Guardian Full Name(s) *
Your answer
Parent/Guardian Contact Number(s) *
Your answer
Email Address *
Your answer
Email Address (this will be used for program communication and updates) *
Your answer
Mailing Address *
Your answer
Alternate Contact Name *
Your answer
Alternate Contact Number *
Your answer
Name of individual who has completed this form: *
Your answer
I/we agree not to hold the Town of Antigonish or any of its agents liable for any injuries sustained by any person registered by me/us while he/she is participating in this program. By clicking below I understand I am consenting to the above statement. *
Other Notes
Your answer
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