Registration Form
Tillicum Community Empowerment Centre - Children Programs
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To learn more or register for the program please fill out the form below

The Community Empowerment Centre in Tillicum hosts various educational programs which assist people to gain a deeper understanding of their own potential and empowers them to contribute meaningfully to the progress of their communities.

Programs focus on supporting youth and children in the Tillicum neighbourhood, alongside their families.
We are offering weekly children's classes and regular camps, festivals, and activities to develop their virtues through storytelling, art, music, and games.

For more information about our programs and to apply please fill out the form below.
Parent/Guardian First Name *
Parent/Guardian Last Name *
We encourage all parents/guardians to participate in a information session are you able to attend an information session? *
Telephone Number *
Email Address *
Home Address *
General Availability - For information sessions or to get in touch *
Required
Child Information
Please submit an additional form for each child in your family that is registering
First Name *
Last Name *
Birthdate *
MM
/
DD
/
YYYY
School *
Grade *
Dietary Restrictions and/or Health Concerns
Do you permit the use of photos and videos taken of the group’s activities to be used in the program’s promotional materials?
 *
Hobbies/Interests *
Required
How did you hear about us? *
Please indicate if you are hoping to register for camp(s)
Please indicate if you are interested in before school care and/or after school care *
Required
Please indicate *
Required
Please Press Submit
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This form was created inside of Bahá'ís of Canada.