Beyond the Rim Parent Registration Form

If you have more than one child attending the program, please enter their names here
Please indicate if this is your Home or Cell Number in the space provided

Please include name, address, phone number and email. Must be different than parent or guardian.
In case of an emergency and the child has to be taken to the hospital
Does your child have any food allergies?

If you have more than one child please indicate the child's name and their age beside their name

I give permission for my child or children's image to be photographed or video taped while participating in Beyond the Rim activities and for the resulting images and video to be used by Beyond the Rim, MLSE and Enactus for future promotional uses.

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Centennial College Full-time Calendar 2018-2019