Fern Valley Recreation's Afterschool Program
Fern Valley Recreation is excited to present our afterschool program for the 2022-2023 school year!! Our program will operate in the Hartney School Multi-purpose Room from 3:15 p.m. to 5:15 p.m. on regular school days, along with the Southwest Horizon School Division Calendar.  Please note that we will NOT operate on school closure days such as weather closures, P.D. days and holidays.

During the 2 hours of care, children may complete their homework, participate in planned or spontaneous activities, play outdoors, explore through science or arts & crafts and other activities.

Once you have completed this form, (please complete one information form per child) a link will be sent to you to select your child care dates. Registrations will be accepted on a first-come, first-serve basis, and payment is required by the first day of each month to hold your selected days.   

If you have any questions or need to submit a change of registration please contact the Program Co-ordinator at 204-858-2536 or fernvalleyrec@gmail.com
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Email *
Parents/Caregivers Names *
Email (will be used to confirm dates) *
Phone number (cell phone with text is preferred for sending program updates) *
Emergency Contact Name and Phone Number (in case we are unable to contact the parent(s) listed above) *
Name of participant *
Participant's Current Age *
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
11 years old
12 years old
Select one
Participant's Birthdate  *
MM
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DD
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YYYY
Does your child have any known allergies or health conditions we should be aware of? (if you select "yes" we will contact you for more details) *
Please enter your child's Manitoba Health Number (9-digit) and your Family's Health Number (6-digit) *
Do you give Fern Valley Recreation permission to use your child's photo/video for advertising purposes? (on Facebook and in the Grassland News)
This form was completed by: (Your name here, please) *
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