PARTICIPANT INFORMATION *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Photo Consent *

I give permission for the Nature and Community Exploration Club Inc. and its representatives to photograph my child for sharing within your child’s program on the Lillio app, and/or on The Club’s Instagram

Yes

No

PARENT/GUARDIAN INFORMATION *

Contact #1

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact #2

First Name

Last Name

Phone

(###)

###

####

Emergency Contact *

*If parents/guardians cannot be reached

First Name

Last Name

Phone

(###)

###

####

2025/26 Fee Schedule

A one-time registration fee* of $50 per family is charged for all programs. This fee allows us to provide for supply needs and program incidentals. *Registration fee may be waived for first attendance. Subsequent attendance on a drop-in or regular-program basis will require the registration fee to be paid. Please select from the list below:

Annual Club Member Full Time Attendance: $6,000

Monthly Full Time Club Member (5 days/week): $595

Monthly Part Time Club Member (3 Days/week): $465

Monthly Part Time Club Member (2 Days/week): $325

Half-Day Program Drop-In Rate: $40

Half-Day Program Drop-In Rate (Extended Hour): $10

Secure Your Spot

We aim to review your registration request and confirm availability within 2 business days. Your child's spot will be held for 72 hours, until payment is received via eTransfer to nature.community.ec@gmail.com with your child's name in the memo.