Kidz Unlimited Registration Form

In order to process your registration, we ask you to provide the following information. Please note that all fields marked with an asterisk (*) are required.
Which Dream Centre event are you registering for?
Child's Name *
Child's Name
**********Please present your child's ALBERTA HEALTH CARE NUMBER at the time of dropping off your child.**********
Your Name *
Your Name
Cell Phone # *
Cell Phone #
Alternate Emergency Contact Phone # *
Alternate Emergency Contact Phone #
Please record any conditions, medical, allergy or dietary requirements which should be observed. Please specify and, if necessary, forward details of medication. PLEASE NOTE THAT KIDZ UNLIMITED STAFF ARE NOT AUTHORIZED TO ADMINISTER MEDICATION. Please list any special instructions or circumstances that you feel the Kidz Unlimited staff should be aware of (custody issues, feeding details,etc.)
NOTE: By clicking SUBMIT, I agree that the above information is correct. I am also aware that there are times that photos and/or video footage is taken of the Kidz Unlimited area/jump castles. As a result of this, my child may appear in slideshows or Kidz Unlimited Promotional Items.