Get Village Of New Minas Program Registration Form March Break Day Camp Please Complete All Applicable

This guide will assist you in accurately filling out the Village of New Minas Program Registration Form for the March Break Day Camp. By following these steps, you can ensure that all necessary information is provided for a smooth registration process.

Follow the steps to complete your program registration form.

1. Press the ‘Get Form’ button to access the registration form and open it for editing.
2. Begin by filling in the 'Name' field with the participant's full name.
3. Enter the 'Health Card Number' of the participant to ensure proper identification.
4. In the 'Parents/Guardians' section, input the full names of the responsible adults for the participant.
5. Complete the 'Address' field with the current residence of the participant.
6. Provide a valid 'Email Address' for communication purposes.
7. Fill in the 'Emergency Contact Name' field with the person to be contacted in case of an emergency.
8. Include the 'Home Phone Number' of the family or guardians for immediate contact.
9. Indicate the 'Emergency Contact Relationship' to describe their connection to the participant.
10. Input the 'Work Phone Number' for the emergency contact to ensure all lines of communication are open.
11. Add the 'Emergency Contact Phone Number' to reach them directly if necessary.
12. List the participant's 'Cell Phone Number' if applicable.
13. Provide the 'Physician's Name' and their 'Phone Number' for medical emergencies.
14. Detail any 'Medical Conditions' that staff should be aware of for the safety of the participant.
15. List any 'Medications' that the participant is currently taking, for staff to be informed.
16. State the 'Age & Grade' of the participant to assist in appropriate grouping during the camp.
17. Select the days for which you are registering the participant by marking the appropriate boxes.
18. Read the agreement and sign in the 'Signature' field to acknowledge consent and understanding.
19. Add the 'Date' of signing to complete the form.
20. After completing the form, you can save your changes, download, print or share the registration documentation.

Complete your program registration form online today to ensure your place in the March Break Day Camp!