THE VILLAGE CHILDREN'S CLUB
Tutoring and creative arts for boys and girls Junior Kindergarten to Grade 2
Tuesday evenings 6:30 p.m. to 8:00 p.m.
September 17 to November 26, 2019
Held at The Village Church, 218 Main Street, Unionville (Main & Carlton)
**LIMITED SPOTS AVAILABLE
CHILD'S INFORMATION
Child's Name (First & Last) *
Your answer
Child's Birthdate *
MM
/
DD
/
YYYY
Child's age *
Allergies and/or Behavioural Concerns
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FAMILY CONTACT INFORMATION
Family Name *
Your answer
Guardian #1 Name *
Your answer
Guardian #2 Name
Your answer
Email *
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Address
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Phone number *
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