mayfair lakeshore tiny tots mini program … · Ω group games please submit form to: mayfair...

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REGISTRATION MAYFAIR LAKESHORE 801 Lake Shore Blvd. E. Toronto, ON M4M 1A9 (416) 466-3777 2017-2018 TINY TOTS MINI PROGRAM Tiny Tots Mini Program is a half-day program for children between the ages of 2 to 5 years old. Children will enjoy skill building activities, such as cooking classes, squash clinics, fun games and creative time. We offer Ω Squash clinics Ω Mini Chefs cooking program Ω Creative time Ω Group games Please submit form to: Mayfair Lakeshore 801 Lake Shore Blvd. E., Toronto, ON Phone: (416) 466-3777 ext. 2243 E-mail: [email protected] TINY TOTS MINI PROGRAM (September 2017 - August 2018) Participant’s Information LAST NAME FIRST NAME MEMBER # (IF A MAYFAIR MEMBER) GENDER AGE HEALTH CARD NUMBER PHYSICIAN’S NAME & PHONE Please specify any medical conditions with regards to participant (allergies, special needs). YOUTH T-SHIRT SIZE (for summer camp only): S M L XL Parent/Guardian’s Information PARENTS/GUARDIANS NAME RELATIONSHIP TO PARTICIPANT PERSONS AUTHORIZED TO PICK UP ADDRESS CITY POSTAL CODE HOME PHONE CELL PHONE E-MAIL PARENT/GUARDIAN SIGNATURE (By signing, you are acknowledging that you have read the below) By use of club facilities, I expressly agree that Mayfair Clubs, its officers, directors, employees, servants or agents, shall not be liable in any manner whatsoever for any damages of any nature or kind whatsoever arising from any injuries sustained by my child while in or about the premises of said facilities; nor shall Mayfair Clubs, its officers, directors, employees, servants or agents, be held liable for any loss or theft, however caused, whether such injury, loss or damage is caused by an act of negligence or omission of staff, management or any other person. I hereby grant Mayfair Clubs permission to use any photographs or video of the participant in publications, displays, presentations or other related use in any format (print, electronic, www site, or other media) for the purpose of promoting Mayfair Clubs events, activities and projects. I waive any copyright or other rights I may have in use of images. 1 of 2 (Please turn over) AGES 2-5 mayfairclubs.com WINTER HOLIDAY MARCH BREAK SUMMER BREAK

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Page 1: MAYFAIR LAKESHORE TINY TOTS MINI PROGRAM … · Ω Group games Please submit form to: Mayfair Lakeshore 801 Lake Shore Blvd. E., Toronto, ON Phone: (416) 466-3777 ext. 2243 E-mail:

REGISTRATION MAYFAIR LAKESHORE801 Lake Shore Blvd. E.Toronto, ON M4M 1A9

(416) 466-3777

2017-2018TINY TOTS MINI PROGRAMTiny Tots Mini Program is a half-day program for children between the ages of 2 to 5 years old. Children will enjoy skill building activities, such as cooking classes, squash clinics, fun games and creative time.

We offerΩ Squash clinicsΩ Mini Chefs cooking programΩ Creative timeΩ Group games

Please submit form to:Mayfair Lakeshore801 Lake Shore Blvd. E., Toronto, ONPhone: (416) 466-3777 ext. 2243E-mail: [email protected]

TINY TOTSMINI PROGRAM

(September 2017 - August 2018)

Participant’s Information

LAST NAME FIRST NAME

MEMBER # (IF A MAYFAIR MEMBER) GENDER AGE

HEALTH CARD NUMBER PHYSICIAN’S NAME & PHONE

Please specify any medical conditions with regards to participant (allergies, special needs).

YOUTH T-SHIRT SIZE (for summer camp only): S M L XL

Parent/Guardian’s Information

PARENTS/GUARDIANS NAME RELATIONSHIP TO PARTICIPANT

PERSONS AUTHORIZED TO PICK UP

ADDRESS

CITY POSTAL CODE

HOME PHONE CELL PHONE

E-MAIL

PARENT/GUARDIAN SIGNATURE(By signing, you are acknowledging that you have read the below)

By use of club facilities, I expressly agree that Mayfair Clubs, its officers, directors, employees, servants or agents, shall not be liable in any manner whatsoever for any damages of any nature or kind whatsoever arising from any injuries sustained by my child while in or about the premises of said facilities; nor shall Mayfair Clubs, its officers, directors, employees, servants or agents, be held liable for any loss or theft, however caused, whether such injury, loss or damage is caused by an act of negligence or omission of staff, management or any other person.

I hereby grant Mayfair Clubs permission to use any photographs or video of the participant in publications, displays, presentations or other related use in any format (print, electronic, www site, or other media) for the purpose of promoting Mayfair Clubs events, activities and projects. I waive any copyright or other rights I may have in use of images.

1 of 2 (Please turn over)

AGES

2-5

mayfairclubs.com

WINTERHOLIDAY

MARCHBREAK

SUMMERBREAK

Page 2: MAYFAIR LAKESHORE TINY TOTS MINI PROGRAM … · Ω Group games Please submit form to: Mayfair Lakeshore 801 Lake Shore Blvd. E., Toronto, ON Phone: (416) 466-3777 ext. 2243 E-mail:

REGISTRATION (CONT’D)

Payment Method Charge Member Account Visa Master Card Amex

CREDIT CARD NUMBER EXPIRY DATE

NAME ON CREDIT CARD

(SHRED AFTER USE)

TINY TOTS MINI PROGRAMDaily Program ScheduleMorning Program9:00am - 9:40am Mini Chefs Cooking Class9:45am - 10:30am Creative time10:30am - 11:15am Squash11:15am - 12:00pm Games

Afternoon Program1:00pm - 1:45pm Games1:45pm - 2:30pm Creative time2:30pm - 3:00pm Squash3:00pm - 4:00pm Mini Chefs Cooking Class

Program Fees (HST not included) Members Non-membersHalf-Day Weekly $200 $225Half-Day $45 $55

Important Reminder to ParentsΩ Children must be at least 2 years old to attend the program.

Ω Participants must wear appropriate clothing and footwear.

Ω For your child’s safety and protection, parents are required to notify the Program Supervisor in writing if the participant must leave the camp early or with a different person.

Ω Children must be signed in and out of the program each day by the authorized parent or guardian. Photo ID may be required.Ω We are a nut aware facility and ask that you do NOT pack any peanut or nut products for your child.

Ω The club must be notified of your child’s allergies.

Ω Tax is not included.

Your child will needΩ An extra set of comfortable clothesΩ Non-marking shoes or squash shoesΩ Squash racquet & eye protectionΩ Water bottle (optional)

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Program OptionsWeekly Program: Half-day Weekly (AM) Half-day Weekly (PM)

Program Dates2017-2018 P.A. Days Friday, October 6, 2017 Friday, November 17, 2017 Friday, December 1, 2017

2017 - 2018 Winter Holiday Program Week 1: December 27–29, 2017 OR choose day(s): Dec 27 Dec 28 Dec 29

Week 2: January 2–6, 2018 OR choose day(s): Jan 2 Jan 3 Jan 4 Jan 5 Jan 6

2018 March Break Program March 12–16, 2018 OR choose day(s): Mar 12 Mar 13 Mar 14 Mar 15 Mar 16

2018 Summer Break Program Jul 3–6* Jul 9–13 Jul 16–20 Jul 23–27 Jul 30–Aug 3 Aug 7–10* Aug 13–17 Aug 20–24 Aug 27–31

OR write individual day(s):

____________________________________________________________________________________________________

___________________________________________________________________________________________________

*Fees for 4 day week programs will be prorated.

Extended Child Care

Do you wish to have extended child care?* Yes No

*Extended care hours are provided for parents and guardians who are not able to drop off or pick up their children during regular program hours. This service is in addition to your program fee.

Before program 8:00am - 9:00am ($30/wk per child) After program 4:00pm - 6:00pm ($60/wk per child) Before and after ($80/wk per child) $9.50 for 1 hour $14 for 2 hours

Dates:

Times:

Daily Program: Half-day (AM) Half-day (PM)

Early BirdRegistration

Receive $25 off full-day weekprogram when you register

your child 3 days in advance.For early bird registration

dates, please contact Kidspace.

Friday, January 19, 2018 Friday, February 16, 2018 Friday, June 8, 2018