REGISTRATION
The annual fee of $25 covers the fieldhouse and toy rental. Please make cheques payable to Open Door Society Playgroup or ODS. Please fill out form below.
Parent Name: ________________Parent Name: _________________
Child’s Name: ___________________ Birth Date: ________________
Country adopted from: _____________________
Child’s Name: ___________________ Birth Date:_______________
Country adopted from: _____________________
Address: _________________________________
City:_________________________ Postal Code: _______________
Telephone:_____________E-mail Address: _____________________
I acknowledge the information provided will be listed in the ODS Playgroup Member list which may, from time to time, be distributed to the active members of the ODS Playgroup.
Signature: _____________________________
