Kid’s Club Signup – South Shore Centre

KID'S CLUB SIGNUP

Registration Form

Child's First Name

Child's Last Name

Child's Birthday

Child's Age

Parent/Guardian's First Name

Parent/Guardian's Last Name

Parent/Guardian's Email

Street Address

City

Postal Code

DISCLAIMER
South Shore Centre is committed to maintaining the security and confidentiality of personal information in accordance with privacy legislation.

By completing this form and checking the consent box below, you are consenting to South Shore Centre collecting, using, and disclosing your personal information in order to identify and communicate with you, for such other purposes as may be necessary in order to provide you with the products and / or services you have requested, and for other purposes where you consent or where such collection use or disclosure is permitted or required by law.

You represent that you have all necessary authority and / or have obtained all necessary consent from any other individual about whom you have disclosed personal information to South Shore Centre in order to enable us to collect, use, and disclose such personal information to fulfill the purposes described above.

CODE OF CONDUCT
I understand and acknowledge that South Shore Centre hosts free "Kids Club" events and that various third party organizations are the host of these free events on behalf of South Shore Centre . As part of registering a child for the South Shore Centre Kids Club and attending Kids Club events, I acknowledge that I am responsible for the child/children and must supervise them at all times.

PARENT OR GUARDIAN:
By clicking the SIGN UP button below, I acknowledge that I have read, understood, and accept the disclaimer and code of conduct listed above as well as the Kid's Club Terms and Conditions.

If you have any questions about our Kids Club please contact South Shore Centre Management Office at 902-543-8867 or email kidsclub@southshorecentre.com.