Hearts in Action Year Round Camps Registration Form

Important Note:

Registration will close 14 days before the start of each program or program session. While the registration form will remain open for those interested, we cannot guarantee program space or timely registration processing by the program start date. Our supervisors will work diligently to contact families who complete a program registration within the 14-day period.

Registration for PD days and exam weeks are limited to participants who receive work-related care/extraordinary child care only through FSCD. For adults, a PDD contract is required outlining supports for non-school days.

Cost

Daily Activity and Centre Fee: $10/day
Fees will be collected at the end of each month by pre-authorized credit card for services used during that month.

I have a current funding agreement*

PDD
FSCD
No Funding Agreement

Parent/Guardian Name*

First Last

Phone Number*

Email Address*

Participant Name*

First Last

Participant Date of Birth*

(dd/mm/yyyy)

Age

(calculated automatically)

Please select your preferred location*

Millbourne Market Mall (3697 Mill Woods Road NW)
Orange Hub (10045 156 Street NW)
McKernan Centre (11341 78 Avenue NW)

Select Non-Instructional Days (2024-2025)*

Edmonton Catholic PD Days
Edmonton Public PD Days
Exam Break - (Last 2 Weeks of January)
Exam Break - (Last 2 Weeks of June)
Winter Break – Week 1 (Dec 23-24 & 27)
Winter Break – Week 2 (Dec 30-31 and Jan 2-3)
Teachers' Convention - (February 27-28)
Spring Break - (March 24-28)

Edmonton Public PD Days*

Select All
January 29
February 18
March 31
April 17
May 20-21
June 9

Hours*

Before & After Care

Before Care (7:30 AM - 9:00 AM)
After Care (3:00 PM - 6:00 PM)

Drop Off Time

:

Pick Up Time

:

AdaptAbilities Hearts in Action Year Round Camps Form

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Cost

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