Register your child

To register a child for Kids Klub, ConnXion, or Fusion, please fill out the form below and one of our staff will get back to you within a week. Please note the age ranges for each program.

Parent's name *

First

Last

Child / Youth's Name *

First

Last

Child's date of birth *

MM/DD/YYYY

Second Child / Youth's Name

First

Last

Second Child's date of birth

MM/DD/YYYY

Third Child / Youth's Name

First

Last

Third Child's date of birth

MM/DD/YYYY

Address *

Street Address including Apartment number

Apartment Door Number

Buzzer Number

Phone Number *

City *

Please note that our bus routes cover most of Surrey and Langley but we may be unable to pick up in some areas.

Email Address *

Program you would like to register for:

If you would like to register for more than one program, please add that in the notes below.

Would you like a free ride to events? *

We need bus transportation
We do not need bus transportation

How did you hear about Metro Kids programs?

Friend or family member
Summer Sidewalk Kids Klub
Christmas Shoebox
Poster or flyer
Online search/website
Social Media
The Gathering
Church
Other

Photo Release

I agree and give my permission

I give my consent for my child’s photo/video to appear in Metro Kids Society’s social media or other publications. I understand that no personal identifiers (name, address, etc.) will ever be published with minors’ photos or videos.

Notes / Comments

Is there anything we should know about your child / teen? (Allergies, special needs, custody arrangements, etc.) You can also note additional children’s names and birthdates in this box, or if you would like to register for more than one program.

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