BC CHEC 2018 Children's Program/Preschool/Kindergarten Medical Info/Waiver/T-shirt order
This medical and legal release MUST be completed and signed in order for the child to participate in BC CHEC 2018 Children’s Program. This is NOT the registration form for CHEC. Please be sure you have registered and paid before filling out this form!

All information will remain confidential and will only be used to ensure the highest level of safety and security for the child.

Email address *
Child's Full Name *
Your answer
Child's Age in April 2018 *
Your answer
Child's Birthdate - be sure to enter correct year. *
MM
/
DD
/
YYYY
Child's Health Care Number - 9 digits *
Your answer
Home Address (include city, province, and postal code) *
Your answer
Home Phone Number *
Your answer
Program Child is Registering In *
Grades 1-6 only - T Shirt size (Team Colour shirts must be worn each day) *
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