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Terra Nova Registration

Please Sign Up Below

*for more information, consult our FAQ page as well as

www.terranovaJSL.org

 

This form should be filled in by the parent who will receive the Relevé 24 at the end of the year (Parent/Guardian Contact #1)

Please note that all fields marked with a red asterisk (*) are mandatory.

Please make sure all the information you have entered is accurate before submitting.

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Parent/Guardian Contact #1
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Releve 24 Information
Would you like to receive a Releve 24 at the end of the year?*
Please note that no Releve 24 can be issued without a valid SIN. Releves 24 will be sent out on or before February 28, 2021.
Parent/Guardian Contact #2
*
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First Child
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Gender*
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Preferred language of the child*
*
Does your child have any allergies?*
Does your child take any medication?*
Do you accept that your child participate in excursions outside of the youth centre?*
You understand that photos of your child may be used for promotional purposes. (If you have any questions or concerns about this, please contact Jason Brereton)*
$165.00 Quantity
$165.00 Quantity
$165.00 Quantity
$165.00 Quantity
$165.00 Quantity
$165.00 Quantity
$20.00 Quantity
Second Child
Gender
Preferred language of the child
Does your child have any allergies?
Does your child take any medication?
Do you accept that your child participate in excursions outside of the youth centre?
You understand that photos of your child may be used for promotional purposes. (If you have any questions or concerns about this, please contact Jason Brereton)
$165.00 Quantity
$165.00 Quantity
$165.00 Quantity
$165.00 Quantity
$165.00 Quantity
$165.00 Quantity
$20.00 Quantity
Third Child
Gender
Preferred language of the child
Does your child have any allergies?
Does your child take any medication?
Do you accept that your child participate in excursions outside of the youth centre?
You understand that photos of your child may be used for promotional purposes. (If you have any questions or concerns about this, please contact Jason Brereton)
$165.00 Quantity
$165.00 Quantity
$165.00 Quantity
$165.00 Quantity
$165.00 Quantity
$165.00 Quantity
$20.00 Quantity
Please note that if you are registering more than 3 children, you will need to fill in another form.
Checks should be made out to: "Montreal Youth Unlimited" and mailed out to: 298 Brookhaven Avenue Dorval, QC H9S 2N4