Register for MCRC's Family Fun P.A. Day Boredom Busters
Session Information
Session Name
Session ID
Start Date
mm/dd/yyyy
Cost
CAD
Details
Location
Room
Session Time
Child Information
Child First Name
Child Last Name
Birthdate
Does your child have any allergies?
Yes
No
Provide details of allergies here
Parent/Guardian Information
Parent/Guardian First Name
Parent/Guardian Last Name
Phone Number
Email
Street Address
Town/City
Postal Code
Emergency Contact Information
Emergency Contact First Name
Emergency Contact Last Name
Phone Number
Relationship to Child
Please select...
Parent/Guardian
Friend
Aunt
Uncle
Grandparent
View the photo/video consent terms
I have read and agree to the photo/video consent terms
View the refund policy
I have read and agree to the refund policy
MCRC can send me information by email about this event, as well as upcoming programs, events and related information. I understand that I can unsubscribe at any time.
I agree
Payment Information
Total Amount Due:
CAD
Name on Card
Card Number
MM
YY
Code
Billing Email