First Name of Child
Last Name of Child
|Gender || Date of Birth|
dd mm yyyy
|School||Name of Parent / Guardian|
Relationship to Child
| Has this child been assisted by P.R.O. Kids before? |
|Street Address|| Postal Code |
|City|| E-mail |
|Primary Phone|| Other Phone (Mobile, Work, etc)|
| If You are Applying For other children, please list their names (you will still need to fill out a separate application for each)|
e.g. Jane Doe, John Doe
Please check all that apply to your current situation:
- You may apply for 1 season at a time and no more than 1 season ahead.
- Applicants are eligible to apply for additional seasons, once their previous application has been approved.
- Some programs (e.g. Hockey or Cheerleading), run for more than one season, yet only require 1 application. P.R.O. Kids staff will contact each parent to discuss each application and conditions for re-applying once their application reaches the top of the waitlist.
- Applications are processed one season ahead of time. Processing times range from an average of 4 - 12 weeks, depending on the volume of applications.
- Applications can be submitted after deadlines, but they are still processed on a first come, first served basis.
| || |
|Season||Program Start ||Application Deadline|
|Spring ||Programs Starting after March 1st ||January 31st |
|Summer||Programs Starting after June 1st||March 31st|
|Fall||Programs Starting after September 1st||May 31st|
|Winter||Programs Starting after December 1st||October 31st|
|Please select the kind of assistance you are requesting from P.R.O. Kids|
| Help with Registration Fees|
Transportation (P.R.O. Kids may be able to assist families who do not have the means of getting their child to their activity)
Equipment (P.R.O. Kids has access to new and used equipment for a variety of programs)
|Is this child currently registered in any other paid sport, recreation, art or cultural program yes no|
|If yes, please Describe: |
|How much can you afford to contribute towards your child's program costs? $ e.g. $25|
|Monthly One time contribution |
|Please provide at minimum 1 reference (other than a family member or friend) who is familiar with your personal situation and is able to verify that your family has financial need.|
Example: Social Worker, Teacher, Case Manager, Coach, Clergy, Physician, Group Leader, Guidance Counsellor, Police Officer, Boss, Lawyer, etc)
|Telephone: ||E-mail |
|Telephone ||E-mail |
|Name of Person Completing this Form |
Relationship to Child/Youth:
If, Other, please describe
By Checking this box, I hereby confirm that I am the parent/guardian of the applicant, or I have the explicit and expressed permission of the parent/guardian, to submit this application on the parent/guardian’s behalf. Furthermore, I hereby authorize (or have received authorization from the parent/guardian of the applicant) P.R.O. Kids to contact the above references to release personal information so that P.R.O. Kids may verify and confirm the financial need of the applicant having regard to the economic circumstances of the applicant.
By Checking this Box, I signify my understanding that all personal information collected by P.R.O. Kids - Saint John is kept strictly confidential, subject to the Right to Information and Protection of Privacy Act (RTIPPA) and I hereby consent to the collection of personal information respecting the applicant by P.R.O. Kids. Personal information is collected solely to maintain a record of applicants participating or utilizing courses, activities, or facilities and to enable the placement of the applicant in the activity of their choice. I hereby consent to P.R.O. Kids sharing personal information respecting the applicant (as may be necessary) with the organization(s) the applicant is interested in attending as well as organizations such as Canadian Tire Jumpstart in order to obtain additional funding to support the placement of this applicant.
By Checking this box. I hereby confirm that I am the parent/guardian of the applicant, or I have the explicit and expressed consent from the parent/guardian that the parent/guardian will be responsible for supervision of their child while participating in activities related to this application.