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

(416) 466-3777

2019-2020 TINY TOTSMINI 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: abrinkis@mayfairclubs.com

TINY TOTSMINI PROGRAM

(September 2019 - August 2020)

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.

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SUMMER BREAK

Winter holiday

March BREAK

2019-2020 WINTER BREAK CAMP Week 1: Monday, December 23 | Friday, December 27 Week 2: Monday, December 30 | January 2 - January 3

2020 MARCH BREAK CAMP March 16 - 20, 2020 or choose day(s): Mar 16 Mar 17 Mar 18 Mar 19 Mar 20

2020 SUMMER CAMP June 15 - 19 June 22 - 26 June 29 - July3* July 6 - 10 July 13 - 17 July 20 - 24 July 27 - 31 Aug 3 - 7* Aug 10 - 14 Aug 17 - 21 Aug 24 - 28 Aug 31 - Sep 4

OR write individual day(s):

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*Fees for 4 day week camps 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 camp hours. This service is in addition to your camp fee.

Before camp hours 8:00am - 9:00am ($30/wk per child) After camp hours 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:

CAMP OPTIONSWeekly Camp: Daily Camp: Half-day Weekly (AM) Half-day (AM) Half-day Weekly (PM) Half-day (PM)

REGISTRATION (CONT’D)DAILY PROGRAM SCHEDULE

Morning 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 $225 $250Half-Day $50 $60

IMPORTANT REMINDER TO PARENTSΩ Children must be at least 2 years old to attend program.

Ω Participants must wear appropriate clothing & 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 Water bottle (optional)

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I, _______________________________________________________________ hereby authorize Mayfair Clubs to charge my credit card for agreed upon purchases and services. I further understand and authorize Mayfair Clubs to keep the above credit card information on file, encrypted in our electronic system, for any future authorized transactions with Mayfair Clubs.

Payment Method Charge Member Account Charge Card On File Visa/Amex/MC

CREDIT CARD NUMBER EXPIRY DATE

NAME ON CREDIT CARD

(SHRED AFTER USE)

TINY TOTS MINI PROGRAM