Junior Humane

JUNIOR HUMANE AGES 7-9 2016-2017

Do you have an animal lover in your family? Junior Humane is a great way for children to start learning about the SPCA and animal care in a fun and educational setting. We now have three different exciting sessions for each age group, allowing children to get more in depth knowledge of all the animals we help at the SPCA. We have animal interaction, guest speakers, guest animals, crafts, movies, and games – what a great way to learn! Our focus is always on teaching respect and compassion for all living things. Children learn practical pet knowledge and ownership responsibility in a fun group environment. Come join the fun!

Time: 6:00-7:15 p.m. Day: Wednesday Cost: $80.00 Payment must accompany registration

Fall 2016 Winter 2017 Spring 2017 Topic: Cats Topic: Dogs Topic: Small Animals Oct. 12th – Nov. 16th Jan. 18th – Feb. 22nd Apr. 5th – May 10th Week 1 October 12 January 18 April 5 Week 2 October 19 January 25 April 12 Week 3 October 26 February 1 April 19 Week 4 November 2 February 8 April 26 Week 5 November 9 February 15 May 3 Week 6 November 16 February 22 May 10 There are several ways to return your registration form!

In Person Email Fax Mail Registration Administration Hours: M-F 9-4 Scanned form to 905 574-9087 245 Dartnall Rd. forms cannot be SPCA Hours: M-T 12-5 (Write credit card Hamilton, ON accepted without W-F 12-7:30 Sat 10-5 & Sun 12-5 [email protected] Number on form) L8W 3V9 payment.

If you have questions please contact Humane Education at 905 574-7722 ext 326 OR email [email protected]

A receipt will be mailed out to you confirming your registration information. JUNIOR HUMANE PROGRAM 2016-2017 7-9 Personal Information:

Child Name: ______Parent/Guardian: ______Date of Birth (mm/dd/yy) : ______Age:______Gender: ______Address: ______(Street / Apartment) (City) (Postal Code) Phone Number: ______Parent Email: ______May we contact you about future programs/events? Choose an item.

Do you have any pets at home? Please Specify:______

Medical Information: Please write any allergies, medical information, medication, disabilities or anything you feel we need to know about to keep your child as safe as possible. If applicable, write instructions, times and/or amounts.

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Liability Waiver: I, the undersigned, DO / DO NOT (circle one) give permission for my child to attend and participate in all activities during the Hamilton/Burlington SPCA Junior Humane program. I understand that as part of this program that my child will be in direct contact with animals. I agree that my child will abide by all the rules and regulations of the HBSPCA. I further absolve the Hamilton/Burlington SPCA of any liability from any incident which may occur. ______Signature of Parent / Guardian

Photo Release Waiver: I, the undersigned, give permission for photos to be taken of my child for use in class projects and/or promotional documents such as future flyers, as well as for my child to be involved with any media coverage that might occur during the program. ______Signature of Parent /Guardian How did you find out about the Junior Humane program? Choose an item.

What programs have you taken with us in the past? Choose an item.

Fall Oct 12 – Nov 16 2016 Choose an item. 1 session $80 $Choose an Winter Jan 18 – Feb 22 2017 Choose an item. Any 2 sessions $152 (5% savings) item. Spring Apr 5 – May 10 2017 Choose an item. All 3 sessions $216 (10% savings) Donation to help children’s programming $10 Choose an item. $20 Choose an item. $Click here to (donations over $10 receive a tax receipt) Other amount $Click here to enter text. enter text. $Click here to TOTAL: enter text. Payment Calculation: Refunds: A $25 administration fee will be charged for withdrawal from the program up to 2 weeks before the program starts. After this time no refund will be issued. No refunds will be issued for classes missed for any reason including illness.

Payment Info: Please Select One: Choose an item. Credit Card: Choose an item. Credit Card Number: ______Expiry Date (mm/yy): ______

Office use only: Date paid ______Inputted by: ______Receipt#: ______