Skip to content
Energy Ventures
Playventures Registration
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Student's Name
*
Student's Group number
*
ex: 2a, 2b
Parent(s)/Guardian(s) Names
*
Address
*
Phone Number(s)
*
Email
*
Emergency Contact Name
*
Emergency Contact Phone Number
*
Allergies/Health Conditions
*
Notes
Dismissal Type:
*
Pick Up
Daycare
* Pick up is @5pm at the main office, ** please note there are no buses at this time **
I acknowledge:
*
Activity dates: Thursdays @4pm – 5pm on Oct: 10,17,24 Nov: 7,21 Dec: 5,12,19
Pick up is at 5pm from main office or *daycare charges may apply*
Payment of $120 to be made by e-transfer to danna.vincent@gmail.com by October 7th, 2024. *Please add student’s name in the note section of the e-transfer*
Photos/videos will be shared on the Energy Ventures business pages (www.energyventures11.com, Energy Ventures on Facebook/Instagram)
Cancellation policy: Full refund if notified more than 48 hours before October 10th, 2024. 75% refund if notified less than 48 hours before October 10th, 2024.
* Teacher contact info: Danna Vincent, dvincent@emsb.qc.ca, www.energyventures11.com, Facebook/Instagram: Energy Ventures
Permission & Agreement
*
I agree and give permission to all of the above
Submit