Creative Kids Club Registration On-hold for 2025-2026 school year Fill out the form to express your interest for September 2026 STUDENTS Name of Child * First Name Last Name Date of Birth * MM DD YYYY Name of Child 2 First Name Last Name Date of Birth MM DD YYYY PARENTS Name of Parent * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Preferred Phone Number * This number may be used to contact parents/caregivers in case of an emergency. (###) ### #### Name of Parent 2 First Name Last Name Email REGISTRATION School Name * I am interested in the walking program from Blythwood Junior Public School (minimum of 6 students needed) Yes No ADDITIONAL INFORMATION Is there any other info we should know? How did you hear about us? * Returning student Website Referred by a friend Postcard in the mail Signage Other Choose your preferred day(s) - interest list only Monday Tuesday Wednesday Thursday Friday By submitting this form and paying the deposit, you are securing your child's spot in the after school club. We will contact you again with more specific details about the program. Thank you!
