Registration – MJWA Home Learners Program

Use the form below to register for the CRCA’s Nature Program for Home Learners. Programs are on Wednesdays from 1:00 to 3:00 p.m. and take place at Mac Johnson Wildlife Area in Brockville. Cost is $48 for the full program ($6.00 x 8 visits). This is a drop-off program.

Dates:
September 21, 28 and October 5 (2016)
February 8 and 15 (2017)
April 27, May 3 and 10 (2017)

Refund Policy – Once the program has started, there are no refunds.

All fields marked with an asterisk (*) are required. A copy of your form submission will be emailed to the address in the form. Once you press the SUBMIT button you will be taken to PayPal to finish your payment. Registration is not considered complete until payment is received. You may also call the CRCA Administration Office with a credit card number, please indicate on the form and call 613-546-4228 ext 221 or toll free in 613 area code 1-877-956-2722.

MJWA Nature Program - Home Learners

Registration Information

Contact Information

A copy of this registration form will be sent to this email address.

Special Needs / Allergies

Our staff is not authorized to administer any medication (excluding emergencies). If you child is on any medication, it is their responsibility to take them on their own accord.

Waiver and Payment

Submission of this form constitutes your agreement and acceptance of the following waiver:
I/We understand that there are risks involved in participating in any activity or program and I/we acknowledge that it is my/our choice to register my/our child(ren) in the above named activity or program and brings with it the assumption by me/us of those risks. Permission is hereby granted to the CRCA and its representative to transport participant(s) to a local doctor or hospital for medical treatment, if necessary.

If the form is correctly filled out, when you click the 'submit button' you will be redirected to an online payment page. We use PayPal for all online payments. PayPal can be used to pay by credit card even if you do not have a PayPal account.
Your registration will only be considered complete after payment has been received.

Electronic Mailings

Sending