REGISTRATION FORM WINTER 2013 FAMILY NAME: ______________________________________________________________________ MAILING ADDRESS: ______________________________________________________________________ PHONE NUMBER: ______________________________________________________________________ EMERGENCY CONTACT: ______________________________________________________________________ EMAIL: ______________________________________________________________________ Please include the exact amount of program costs owing. Do not include HST on programs for children 15 and under. All other programs are subject to HST. Calculate a 10% discount for your first program and 5% off the rest (not applicable to swimming, cooking, or babysitting training).
Program Name
Participant’s Name
Child’s Date of Birth
Program Cost
Discount Applied
-10% -5% -5% -5% -5% -5% -5% -5% -5% -5% -5% -5% Total Program Costs
6
TOFINO’S COMMUNITY LIVING GUIDE
$
WINTER /SPRING 2013
Discount Program Cost