173 Brookfield Road - A1E 6J4 - St. John’s, Newfoundland
709-747-3276
Please fill out and mail back to us by May 1, 2015. Spaces are given on a first
come first serve basis. Please Note that applications will not be accepted
through email, our website or Facebook.
Lil’ Lester’s Club 2015-Pre Registration
Please remember that there is limited space so please sign up fast!
Childs Name: ________________________________________________
Childs Age: _____ Childs Date of Birth: ____________________________
Parents/Guardians: ____________________________________________
Contact Numbers: (home) ___________ (cell)__________ (other)_________
Email: ______________________________________________________
Mailing Information: ___________________________________________
____________________________________________
____________________________________________
Allergies/Medical Conditions:______________________________________
_____________________________________________________
Size of t-shirt: ________ (Can wait to fill out when you see the size of the shirt)
To cover the cost of the materials which will be used as well as the tshirt the club
will cost each child will be: **Please note all prices are plus tax.
$50.00 + tax ($56.50) for Littlest Lester’s
$70.00 + tax ($79.10) for Lil’ Lester’s
$40.00 + tax ($45.20) for returning Littlest Lester’s going into Littlest Lester’s
$55.00 + tax ($62.15) for returning Littlest Lester’s going into Lil’ Lester’s
$40.00 + tax ($45.20) for Junior Lester’s
Please number (1 being first choice) which group you would like your child to
participate in. Again, please remember that spots are granted on a first come first
served basis as space is limited. If we get an overwhelming response we will
certainly look into adding more times for certain ages. Please note below if there
are other activities or other reasons that would conflict with a particular time.
Littlest Lester’s (Ages 3-4) start dates: June 23,June 25 (five week program)
Tuesday 11:00-11:45 ____ Tuesday 4:15-5:00 ____
Tuesday 5:30-6:15____
Thursday 11:00-11:45 _____ Thursday 4:00-4:45_____
Lil’ Lester’s (Ages 5-10) start date: July 2 (seven week program)
Thursday 1:00-2:00 ____Thursday 2:30-3:30 ___Thursdays 6:30-7:30 __
Lil’ Lester’s Condensed Program start date July 8 (four week program)
Wednesday 10:30-12:30____
Wednesday 3:30-5:30____
Junior Lester’s (Returning Lil’ Lester’s Only) (seven week program)
Thursdays 5:15-6:15______
Junior Lester’s Condensed Program (Returning Lil’ Lester’s Only) start: July 8
Wednesday 1:00-3:00_____
(4 week program)
Notes on conflicts/ request to be with friend:_________________________
____________________________________________________________
Through our Lil ’Lester’s Club we hope to encourage children to be more aware of
where their food comes from, to be more aware of the farming lifestyle in general,
and to learn the basics of farming hands on.
Please sign to ensure that everything is correctly filled out: _________________
If you have any questions or concerns, feel free to contact us by phone or email.
Hope to see you soon!
For Office Use Only:
Club time and day: _______________________________________________
Waitlisted:____________________________________________________
Confirmation email sent: ___________________________________________
Amount paid: _______________ Employee Signature: ____________________