Program Registration
Please note: completing a registration form does not guarantee a spot in a program. Program registration forms will be answered in the order they are received in order to ensure equal opportunity for participation. If a spot is available, somebody will follow up with you.
Parent/Guardian Information
Child Information
Each child needs to be registered individually. If you are only registering one child, leave the other boxes blank.
Child 1
Child 2
Child 3
Authorized Program Arrival & Departure
Please note: Supervision will not be provided outside of designated registered program times. Participants are to arrive and depart solely during the times of the registered program.
Authorized Participant Pick-up
List the full name of people(s) who are permitted to pick up the participant besides the parent or legal guardians listed on this form. The person picking up the participant may be asked to show picture I.D. daily. Persons not listed below will not be permitted to pick up the participant.
Emergency Contact
(Staff will contact the emergency contact persons only in the event of an emergency, a phone number where this person can be reached is mandatory)
Emergency contact 1
Emergency contact 2
​Liability Waiver Statement:
By registering my child as a Participant in NHC’s Children's Programming, I agree to the following:
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I understand that these classes can potentially have risks resulting from my child's participation in them.
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I agree that my child is participating volutnarily in these classes with full knowledge that there is a potential risk of personal injury, property loss /damage or, in unlikely and extreme cases, death.
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I agree that I, my heirs, assigns or legal representatives will not sue or make any other claims of any kind whatsoever against NHC or its staff or instructors for any personal injury, property damage/loss, or death, whether caused by negligence or otherwise.
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I release NHC, program staff, instructors and all employees of all liability regarding any injury or illness or death to self or others and any loss or damage to personal property.
Please sign below if you agree and consent:
I further waive any claims against Nepean Housing Corporation, or any of its agents, staff, instructors, partners and volunteers in the event of any injury or accident that my child may sustain while attending or taking part in children's social recreation programming.