Course Registration

A registration is required for each person registering for classes.

Student's Name :

Student's Age: Children and Teens

Program Name and Date

Parent's Name (if applicable)

Parent's Telephone

Emergency Contact Name & Telephone

Emergency Telephone

Address

Allergies / Medications / Limitations

Amount paid:(required)

E.Transfer

Paypal

Cheque

How can we enhance the student's experience?

Start date and time of Program:

Amount paid for course tuition: $

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