Math Buddies: Child Application

Child's Information

Name
Address

Parent/Guardian's Information

Name
Address
Liability Waiver Signed?

Emergency Contact Information

Name

Preferred Branch, Date & Time(s)

Preferred Branch Location
Please select all that apply. To remove a selection, click the day and time again.
Monday, 3:30 - 4:30pm
Monday, 4:00 - 5:00pm
Monday, 4:30 - 5:30pm
Monday, 5:00 - 6:00pm
Monday, 5:30 - 6:30pm
Monday, 6:00 - 7:00pm
Monday, 6:30 - 7:30pm
Tuesday, 3:30 - 4:30pm
Tuesday, 4:00 - 5:00pm
Tuesday, 4:30 - 5:30pm
Tuesday, 5:00 - 6:00pm
Tuesday, 5:30 - 6:30pm
Tuesday, 6:00 - 7:00pm
Tuesday, 6:30 - 7:30pm
Wednesday, 3:30 - 4:30pm
Wednesday, 4:00 - 5:00pm
Wednesday, 4:30 - 5:30pm
Wednesday, 5:00 - 6:00pm
Wednesday, 5:30 - 6:30pm
Wednesday, 6:00 - 7:00pm
Wednesday, 6:30 - 7:30pm
Thursday, 3:30 - 4:30pm
Thursday, 4:00 - 5:00pm
Thursday, 4:30 - 5:30pm
Thursday, 5:00 - 6:00pm
Thursday, 5:30 - 6:30pm
Thursday, 6:00 - 7:00pm
Thursday, 6:30 - 7:30pm
Friday, 3:30 - 4:30pm
Friday, 4:00 - 5:00pm
Friday, 4:30 - 5:30pm
Friday, 5:00 - 6:00pm
Friday, 5:30 - 6:30pm
Friday, 6:00 - 7:00pm
Friday, 6:30 - 7:30pm
Saturday, 10:00 - 11:00am
Saturday, 10:30 - 11:30am
Saturday, 11:00am - 12:00pm
Saturday, 11:30am - 12:30pm
Saturday, 12:00 - 1:00pm
Saturday, 12:30 - 1:30pm
Saturday, 1:00 - 2:00pm
Saturday, 1:30 - 2:30pm
Saturday, 2:00 - 3:00pm

I am applying to have my child join the King Township Public Library Math Buddies Program. I understand that my child (Grade 1-4) will meet with a designated volunteer for 1 hour on the scheduled day each week for a 10-week session.

Volunteers over the age of 18 have successfully completed a positive Vulnerable Sector Screening by the York Regional Police. All volunteers have received the necessary training to support the Math Buddies Program.

I understand that all sessions are ONLY to take place at the agreed-upon preferred branch location. I am responsible for transporting my child to and from the Library for these scheduled math sessions.

I understand that the King Township Public Library staff is not responsible for supervising my child.

I agree to immediately notify the volunteer and the Library if my child is unable to attend a session (if possible at least a day in advance) with as much notice as possible. Therefore, I understand that my contact information will be shared with the designated volunteer to facilitate communication.

The Library reserves the right to manage the pairings, including reassigning and/or dissolving the pairings at any point, as deemed necessary. All participants in the Math Buddies Program are expected to abide by the Library’s Code of Conduct.

Parent/Guardian Name
By entering my name in this field, I agree to the above.

At the conclusion of the Math Buddy program, all personal information collected in this application will be destroyed.

If you require more information, please contact:

mathbuddies@kinglibrary.ca
905-833-5101