Playsafecover 2016-17-page-001PlaysafeReg. form.pub 2016-page-001

Registration form can be downloaded by clicking this link

 

Registration


Select school your child attends

 Moraine SRAE

Child's name(required)

Allergies

Teacher

Grade


Second Child's name

Allergies

Teacher

Grade


Contact Information

Mother/Legal Guardian Name


Address


City


Zip


Home Phone


Work Phone


Cell Phone


Email

Father/Legal Guardian Name


Address


City


Zip


Home Phone


Work Phone


Cell Phone


Email


Please list at least two names, beside yourself, whom you authorize to pick-up your child. If you are divorced, please list other parent's name, if they are permitted to pick-up your child. If there is a court order involved, please provide a copy to the Park office.

Name

Name

Name

Name


Names of emergency contact, if parent is unavailable:

Name

Number


Name

Number



Your Email (required)


Options for Registration Submission:



Schedule and Fees:
Student’s schedule and payment must be submitted to the Park on a weekly basis. This form is due at the Park on MONDAY (prior to one week of use) with payment.

Electronic Submission:


1.) The following link will download an Excel template for you to schedule your child. Click to schedule!

2.) After completing the schedule, save a copy to your computer.

3.) In the field below, click "Upload" and select the your completed schedule.

Upload completed schedule here:


Alternative Submission


You may also download, print, fill out, and turn in a physical copy of your child's schedule to our Park Office during business hours. Click to Download Printable Schedule!