Boswin Winter Registration ( Monthly Payment Plan)

Boswin Fall/Winter Program Registration

Payment Plan Option
Student Information
Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
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.
Payment Method
My Products (including tax):
prevnext( X )
JK - SK Builders II
$85.43 for the first month, 4 equal payments of $ 49.83 afterwards

$85.43 CAD for the first payment then,$49.83 CAD for each month



Junior Coding II (Saturdays)
$175.00 for the first month, 4 equal payments of $115.00 afterwards

$175.00 CAD for the first payment then,$115.00 CAD for each month



Junior Coding II (Thursdays)
$175.00 for the first month, 4 equal payments of $115.00 afterwards

$175.00 CAD for the first payment then,$115.00 CAD for each month



Junior Coding IV(Saturdays)
$190.61 for the first month, 4 equal payments of $111. 19 afterwards

$190.61 CAD for the first payment then,$111.19 CAD for each month



Junior Robotics II (Saturdays)
$175.00 for the first month, 4 equal payments of $115.00 afterwards

$175.00 CAD for the first payment then,$115.00 CAD for each month



Junior Robotics II (Thursdays)
$175.00 for the first month, 4 equal payments of $115.00 afterwards

$175.00 CAD for the first payment then,$115.00 CAD for each month



Junior Robotics II (Wednesdays)
$175.00 for the first month, 4 equal payments of $115.00 afterwards

$175.00 CAD for the first payment then,$115.00 CAD for each month



Primary Robotics II (Saturdays)
$158.06 CAD for the first payment then,$92.20 CAD for each month



Primary Robotics II (Thursdays)
$158.06 for the first month, 4 equal payments of $92.20 afterwards

$158.06 CAD for the first payment then,$92.20 CAD for each month



Primary Robotics IV (Saturdays)
$158.06 for the first month, 4 equal payments of $92.20 afterwards

$158.06 CAD for the first payment then,$92.20 CAD for each month



Primary Robotics IV (Thursdays)
$158.06 CAD for the first payment then,$92.20 CAD for each month