Kidsbkidz

Welcome to the Vancouver KIDS-B-KIDZ Registration Form Please fill out the following information in order to register your child(ren).

Date of birth*

CARE CARD # Healthcare Information (Child )

Family Doctor Name*

Does your child take regular medication? If yes, please list ALL of your child's regular medications and the reason(s) they are taken.*

Does your child have any allergies? If yes, please list ALL allergies and their medications.*

Does your child have any special conditions, injuries or illnesses that we should be aware of? If yes, please list them all, AND describe any specific care instructions.*

Additional comments

Applicant Parent's Name*

Second Parent's Name*

Cell Phone Number*

We will text reminders to this number

Home Phone Number

Email

Pick-Up Permission

Please enter the information of the person(s) authorized to pick up your child(ren), other than the parent/guardian listed above. If no one other than the parent/guardian has pick-up permission, please leave these fields blank.

Phone*

Relationship to Student*

Phone

Relationship to Student

Phone

Relationship to Student

Emergency Contact

The emergency contact is the person we would call in the event of an emergency, if the parent/guardian does not respond. This CANNOT be the same person as the parent/guardian.

Phone*

Relationship to Student*

Important Information

Please have your child bring: - an extra set of clothes (pants, shirt, undergarments, socks), labeled with your child’s full name. - lunch everyday (one meal and two snacks) - two water bottles everyday - sneakers - sunscreen If more than one of your children is attending the Program, ensure that each child has their own lunch. Also please remember to have your child(ren) dress for the weather. Please note that AICP is not responsible for any damaged or stolen goods.

Date*

Applicant Parent Initials Here*

Registration Form

Pick-Up Permission

Emergency Contact

Important Information

About Us

رمضان 1445 – كيفية ثبوت شهر الصوم

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