Boswin Winter Program Registration (lumpsum)

Boswin Fall/Winter and March Break Program Registration
Student Information
Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Gender
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School
Guardian 1 Information
Name

First NameLast Name
Relationship to Student
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Guardian 2 Information
Name

First NameLast Name
Relationship to Student
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Primary Emergency Contact
Name

First NameLast Name
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Secondary Emergency Contact
Name

First NameLast Name
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
How do you hear about us?
If you are referred by someone from our school, what is his/her name?
Does the student have any allergies that we need to be aware of? If yes, please specify.
Does the student have any other medical conditions that we need to be aware of? If yes, please specify.

My Products (Including tax)

JK - SK Builders I & II

$535.00 CAD

JK - SK Builders I

$310.00 CAD

JK - SK Builders II

$383.00 CAD

AI Application Lab I & II (Saturdays)

$1,469.00 CAD

AI Application Lab I (Saturdays)

$741.00 CAD

AI Application Lab II (Saturdays)

$889.00 CAD

Junior Coding I & II (Saturdays)

$1,057.00 CAD

Junior Coding I (Saturdays)

$571.00 CAD

Junior Coding II (Saturdays)

$605.00 CAD

Junior Robotics I & II (Saturdays)

$1,057.00 CAD

Junior Robotics I (Saturdays)

$571.00 CAD

Junior Robotics II (Saturdays)

$605.00 CAD

Junior Robotics I & II (Thursdays)

$1,057.00 CAD

Junior Robotics I (Thursdays)

$571.00 CAD

Junior Robotics II (Thursdays)

$605.00 CAD

Junior Robotics I & II (Wednesdays)

$1,057.00 CAD

Junior Robotics I (Wednesdays)

$571.00 CAD

Junior Robotics II (Wednesdays)

$605.00 CAD

Primary Coding I & II (Thursdays)

$944.00 CAD

Primary Coding I (Thursdays)

$509.00 CAD

Primary Coding II (Thursdays)

$554.00 CAD

Primary Robotics I & II (Wednesdays)

$944.00 CAD

Primary Robotics I & II (Thursday)

$944.00 CAD

Primary Robotics I (Wednesdays)

$509.00 CAD

Primary Robotics I (Thursday)

$509.00 CAD

Primary Robotics II (Wednesdays)

$554.00 CAD

Primary Robotics II (Thursday)

$554.00 CAD

Primary Robotics I & II (Saturdays)

$944.00 CAD

Primary Robotics I (Saturdays)

$509.00 CAD

Primary Robotics II (Saturdays)

$554.00 CAD

Primary Robotics III & IV (Saturdays)

$944.00 CAD

Primary Robotics III (Saturdays)

$509.00 CAD

Primary Robotics IV (Saturdays)

$554.00 CAD

Primary Robotics III & IV (Thursdays)

$944.00 CAD

Primary Robotics III (Thursdays)

$509.00 CAD

Primary Robotics IV (Thursdays)

$554.00 CAD

"Sport for You" Adult Badminton (Early Bird Price) (Fridays)

$200.00 CAD

Enter coupon

Total

Payment Methods

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Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
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Boswin Fall/Winter and March Break Program Registration

Student Information

Guardian 1 Information

Guardian 2 Information

Primary Emergency Contact

Secondary Emergency Contact

My Products (Including tax)*

Payment Methods

My Products (Including tax)