BULINGTON OEYC
WINTER 2015 (JAN 5 – FEB 27)
REGISTERED PROGRAMS
OEYC WINTER 2015 (JAN 5 – FEB 27)
REGISTRATION FORM
Aldershot Location
PARENT/CAREGIVER INFORMATION
Only one form per parent/caregiver will be accepted!
Duplicate forms will be discarded.
W iggles, Squiggles & Giggles
(18 mos – 2 yrs) Younger siblings welcome.
Tues. 9:15 – 10:15
Parent/Caregiver Name:
Phone:
St. Stephen Church
Postal Code:
Email:
Creative Movem ent and Art
To make sure you receive your email notice, don’t forget to add
[email protected] to the safe senders list on your computer.
We will only contact you if you are placed in program.
Creative Movem ent and Art
(2 – 4 yrs)
Mon. 9:30 – 10:30
(2 – 4 yrs)
Mon. 10:45 – 11:45
(younger siblings welcome)
(younger siblings welcome)
CHILD(REN) INFORMATION
Children to be Registered
Age
Allergies
Village of Tansley Woods
(babies must be included here if you plan
to bring them with you!)
Intergenerational Mother Goose
(newborn – 12 mos)
Mon. 2:00 – 3:00
New Appleby Public Library
Mother Goose
PROGRAM INFORMATION
Program Selection
Which
Day of
the
Week?
MON
TUES
WED
THURS
FRI
What
time?
(please
list start
time)
1 st
Choice
Tues. 1:00 – 2:00
Aldershot Library
Where?
A = A ld e r s h o t
C = C u m b e r la n d
V T = V illa g e o f T a n s le y
A P P L E B Y = A p p le b y
L ib r a r y
A L D L IB = A ld e r s h o t
L ib r a r y
S T . S – S t. S te p h e n
B H L – B r a n t H ills
L ib r a r y
(newborn – 12 mos)
Mother Goose
(newborn – 12 mos)
Thurs. 2:00 – 3:00
Brant Hills Library
Mother Goose
(newborn – 12 mos)
Fri. 1:30 – 2:30
2 nd
Choice
3 rd
Choice
Please return this completed form:
By E-mail: [email protected] By Fax: (905) 632-0665
In Person: Cumberland (710 Cumberland Ave.), Aldershot (645 Plains Rd)
Tansley (2111 Walker’s Line) – Mondays and Fridays,
St. Matthew’s (126 Plains Rd) – Tuesdays and Thursdays
Information gathered on this form is for internal use only.
We’ve redesigned some of our baby and
toddler programs to make them more
accessible. Look for more information about
these great programs in the coming weeks.
Play, Learn and Grow Drop-in (0 – 16 mos)
Mother Goose Drop-in (0 – 12 mos)