Registration - Tapiola Programming
Please complete the form below in order to participate in the Tapiola Outdoor Education Centre Programming
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Email *
Program Name: *
Caregiver Name(s): *
Main Contact Number (s): *

Home Address:

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Child(ren) Name(s) and Date(s) of Birth:

 *

Relevant Information (behavioural, sensory, allergies, ect):

Emergency Name and Contact Number:

 *
I have read the assumption of risk form and signed the waiver: *
Required
I agree to read the Tapiola Outdoor Education Centre Code of Conduct with my child(ren)
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I consent to allow my child(ren) image(s) to be used in promotional imaging and on social media: *

Name of Individual Completing Form:

IMPORTANT: By typing your full name below, you hereby agree that any form of electronic signature, including but not limited to typed signatures and signatures via facsimile, scanning, or electronic mail, may substitute for the original signature and shall have the same legal effect as the original signature.

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Date of Form Completion:

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