HAPPY FARM's Registration Form is attached. Please complete and forward. Please be sure to include current vaccination information for your child. Please also be aware that there is a $100 enrollment deposit required before enrollment date. This deposit is repayable at the end of the child’s time at HAPPY FARM provided account is in good standing.

Name Of Child		Name Child Goes By

Sex	Birth Date	Enrollment Date

Address

Mothers Name	Birth Date	Home Phone
Work Phone	E-mail Address

Mothers Place of Employment

Fathers Name	Birth Date		Work Phone
Home Phone	E-mail Address

Fathers Place of Employment

Please forward resume or questions to happyfarmkids@shaw.ca (attention Lyne) or fax to Lyne at 604-582-7644.