Minimakers Registration FormPlease enable JavaScript in your browser to complete this form.Child InformationMakers Name *FirstLastMakers Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Makers Grade *KindieGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7What program are you registering for? *Summer CampSpring CampWinter CampPro-D-DayAfterSchool MakersClubMinimakers Afterschool Classroom at JQMinimakers Afterschool Classroom at KerrisdaleWhich location are you registering for? *Minimakers Langley Pop UpMinimakers South SurreyMinimakers South VancouverOcean Explorers at the Vancouver AquariumPlayland Explorers at Playland/PNEWhat dates are you registering for? *March 2024March 1, 2024March 15, 2024March 18 to 22, 2024March 19, 2024March 21, 2024March 25 to 28, 2024March 27, 2024April 2024April 4, 2024April 10, 2024April 15, 2024April 15 to 19, 2024April 19, 2024April 22, 2024April 22 to 26, 2024April 26, 2024April 29, 2024April 30th, 2024May 2024May 3, 2024May 6, 2024May 17, 2024May 21, 2024June 2024June 7, 2024June 28, 2024July 2 to 5, 2024July 8 to 12, 2024July 15 to 19, 2024July 22 to 26, 2024July 29 to August 2, 2024August 6 to 9, 2024August 12 to 16, 2024August 19 to 23, 2024August 26 to 30, 2024Primary Parent/Legal GuardianName *FirstLastPhone *Email *AddressAddress Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmergency ContactName *FirstLastPhone *Relationship to childIs there anything you’d like us to know to help ensure a great experience *How did you hear about us?Online SearchFacebook postInstagram postGoogle AdvertisementReferral from a current memberReferral from an employeePlease select belowYes. I grant permission for Minimakers to use images taken during Minimakers camps, classes, events for occasional marketing materials including social mediaNoTerms and Conditions Please check each boxPlease check each box acknowledge the initial Terms and ConditionsI agree to keep my child home if they show symptoms of illness including the following but not limited to fever, runny nose, sore throat or coughI agree that my child must wear personal protective equipment including eye and ear protection and dust mask when deemed necessary or directed while any age appropriate tool is being used or demonstrated.I agree to have my child withdrawn from the program or camp should their behaviour create a safety risk to themselves, other children or staff.I agree to allow my child to us age appropriate tools and Child safe power tools while under the supervision of an experienced Minimakers Instructor or staff.I understand that while attending a Minimaker camp or program my child may participate in Science Experiments and demonstrations.Additional Terms and Conditions By checking below you agree to the following terms and conditions.I agree to the Additional Terms and ConditionsSignatureClear SignatureFor Information on drop off, pick up times, and what to bring, click the linkhttps://minimakers.ca/empty-page/Submit