It is important that you hit "SUBMIT" at the end otherwise you are not registered.  Thank you.
Let the registration process begin!

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* 1. Child's last Name

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* 2. Parent's Names 

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* 3. Parent Email

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* 4. Home Phone Number

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* 5. Cell Number of one parent

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* 6. Home Address

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* 7. Emergency Contact Person - who we will attempt to contact first

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* 8. Transportation to Stillwood

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* 9. Home Church/Faith Community

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* 10. Church Leader attending (if any)

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* 11. First Child's Name

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* 12. Gender Identification

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* 13. Birthday - month/day/year

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* 14. Grade

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* 15. BC Medical Services Plan Number

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* 16. Does your child have any challenges that we should be aware of? (Medical concerns, food allergies, social challenges etc)  Please note that these details help us to provide the best possible experience for your child.

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* 17. Would your child prefer to stay on a family style/gender mixed floor?

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* 18. Is there one person your child would like to room with?

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* 19. Second Child's Name

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* 20. Gender Identification

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* 21. Birthday - month/day/year

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* 22. Grade

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* 23. BC Medical Services Plan Number

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* 24. Does your child have any challenges that we should be aware of?  (Medical concerns, food allergies, social challenges etc.)  Please note that these details help us to provide the best possible experience for your child.

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* 25. Would your child prefer to stay on a family style/gender mixed floor?

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* 26. Is there one person your child would like to room with?

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* 27. Third Child's Name

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* 28. Gender Identification

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* 29. Birthdate - month/day/year

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* 30. Grade

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* 31. BC Medical Services Plan Number

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* 32. Does your child have any challenges that we should be aware of? (Medical concerns, food allergies, social challenges etc.)  Please note that these details help us to provide the best possible experience for your child.

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* 33. Would your child prefer to stay on a family style/gender mixed floor?

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* 34. Is there one person your child would like to room with?

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* 35. Payment method - Once you submit this registration please go to our 'Payment and Permission' Page and complete the permission form.

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* 36. Bursary Request - if you are not able to find assistance from your congregation, faith community or presbytery

Please note that you will need to return to our Payment and Permission page for payment details and print the permission form.

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