Booking Inquiry Form

Once we receive the form, we will contact you shortly to confirm room availability. To book multiple sessions, you will need to submit this form for each day. If you do not hear back from us or have any questions, please reach out to us at family.centre@comoxmfrc.ca or call 250-339-8211 ext 2527232.

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Address

1473 Snowberry Ave

Lazo, BC

V0R 2K0

Phone

250-339-8211

ext 7232

Email

family.centre@comoxmfrc.ca

Child Full Name

Caregiver Full Name

Please list any allergies, medical conditions, and support needs

Select a date no more than 7 days in advance. Please refer to above calendar for operational days and hours.

Requested Drop off and Pickup Time:

Our program is funded to support active military families. Please select the answer that best suits your family. If you are not active military, you will not be contacted until 1-2 days prior to your request IF space remains.

Payment is required within 24 hours of confirmation from staff. Failure to pay will cancel your space - no exceptions. We are often holding a waitlist each day and will offer the space to the next person in line. Once booked and confirmed, refunds will not be issued if you cancel. See our parent handbook for full refund policy.

Please initial below to indicate your agreement to the terms above

Booking Inquiry Form

Address

Phone

Email

Fill out your Privacy and Confidentiality Consent Form Remplissez votre formulaire de consentement à la confidentialité et à la protection des données personnelles.

Fill out your Privacy and Confidentiality Consent Form
Remplissez votre formulaire de consentement à la confidentialité et à la protection des données personnelles.