BC CHEC 2019 Children's Program (ages 3-6; Grades 1-6) -- Medical Info/Workshop Form

Once you’ve paid registration fees be sure to submit the Medical Info/Workshop Form for EACH child.

· A medical and legal release must be completed and signed in order for your child to participate

· T-shirt size is needed

· For Children Grades 1-6: Choose a workshop for the day(s) your child is attending

This form is REQUIRED. Please do not delay in filling it out so we can ensure your child has a wonderful experience!

Child's Full Name *
Your answer
Child's Age in April 2019 *
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 *
T Shirt size (Team colour shirts must be worn each day by ALL children registered for the BC CHEC 2019 Children's Program) *sizes are approximate *
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