Fun to be Four – Register | Kent Family Resource Centre

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Fun to be Four - Register

Please complete the following registration form by completing all the required information ( * ). This information remains very important, as it will be used by managers to communicate with you in the coming weeks.
Information about the child
First name :*
Last Name :*
Sex :*
- M
- F
Spoken language(s) :*
- English
- French
Date of birth (dd/ mm/ yy) :*
School :
Phone number :
Information about the parents
The child resides with :*
- Parent 1
- Parent 2
- Both Parents
- Shared Custody
- Guardian
Identification of parent 1
First Name :*
Last name :*
Spoken language(s) :*
- English
- French
Address :*
City :*
Postal Code :*
Phone number :
Home :*
Work :
Mobile :
Email :
Identification of parent 2
First name :*
Last name :*
Spoken language(s) :*
- English
- French
- Select if the address is the same as the father
Address :*
City :*
Postal Code :*
Phone number :
Home :*
Work :
Mobile :
Email :
Identification of the guardian
First name :*
Last name :*
Spoken language(s) :*
- English
- French
Address :*
City :*
Postal Code :*
Phone number :
Home :*
work :
Mobile :
Email :

KFRC offers programs and activities for families of children ages 0 to 6 years old in Kent County.

Phone: +506 524 9192

richibucto@frc-crf.com

Address: 9550 Main St., Unit 1 Richibucto, NB E4W 4E4