Enrol For Home Work Club Rhema Kids Homework Meets: Every Thursday from 12:30 - 3:30 pmEnrolling your child in the Rhema Kids Homework Club is easy! Simply fill out our online enrollment form or give us a call to schedule a tour of our facility. Children's InformationFirst Name *Last Name *Date of Birth *Month *Day *Year *Gender *MaleFemaleStreet Address *Apartment, suite, etcCityProvincePostal CodeSchool InformationSchool nameGradeGrade 1Grade 2Grade 3Grade 4Grade 5Parent/Guardian InformationFirst Name *Last Name *Phone *Email Address *Other Important InformationEmergency ContactNameMobile PhoneOthers authorized to pick the children (Photo ID is required for pick up)NameMobile PhoneHealth Concerns *Allergies/special food requests *Please check the box next to each statement, to show that you have read it, understand and agree:Snacks will be provided and served by Rhema Kids Homework Club.Rhema Kids Homework Club is a positive environment. We will do everything within our power to help children succeed. In the unlikely event that a child becomes a consistent distraction or endangers themselves or others, we reserve the right to restrict their participation. I understand that during Rhema Kids Club programming, Christian educational and experiential practices such as Bible stories, scripture verses, Christian songs, prayer times, and discussion will be integrated in a child-friendly, non-coercive manner. Children from any faith background are welcome to attend, however Christian values and beliefs will be presented. I give Rhema Kids Homework Club permission to take photos or videos (digital or otherwise) of myself, my child(ren)/family members for use in educational materials, publications, promotional materials, their website, Facebook and other social media sites and/or other materials and release Rhema Kids Homework Club and all persons acting under its authority from any claims I might have due to the initial or subsequent publication of such materials. Participant’s names will not be used. Rhema Kids Club includes a variety of activities. I acknowledge that personal injury, etc. is always a possibility when children are active. In the unlikely event of an emergency, every effort will be made to contact you or your emergency contacts for permission to seek medical help for your child. If you cannot be reached, we will call emergency medical help. Transportation to and from Rhema Kids Club is the parent’s responsibility. Pick up should be no later than 3:30 pm and check out is required. I hereby acknowledge that I have voluntarily registered my child in the Rhema Kids Homework Club program. I am aware of the risks that may arise out of participation in Rhema Kids Club activities including but not limited to games and crafts. I agree on my behalf and on the behalf of my family that Rhema Kids Homework Club shall not be liable for any personal injury, death, or property loss, and I indemnify Rhema Kids Homework Club from any such claims for negligence, or breach of statutory duty of care on the part of Rhema Kids Homework Club or its directors, officers, employees, or volunteers, and I waive the right to make any claim with respect thereto. Parent/Guardian Name *DateENROL YOUR CHILD NOW