Boswin Winter Registration ( Monthly Payment Plan)

Name*

First NameMiddle NameLast Name

Date of Birth*

Date

Gender*

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

School*

Name*

First NameLast Name

Relationship to Student*

Home Phone

Please enter a valid phone number.

Cell Phone*

Please enter a valid phone number.

Email*

example@example.com

Name

First NameLast Name

Relationship to Student

Home Phone

Please enter a valid phone number.

Cell Phone

Please enter a valid phone number.

Email

example@example.com

Name*

First NameLast Name

Home Phone

Please enter a valid phone number.

Cell Phone*

Please enter a valid phone number.

Email*

example@example.com

Name*

First NameLast Name

Home Phone

Please enter a valid phone number.

Cell Phone*

Please enter a valid phone number.

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:*

JK - SK Builders II

$85.43 for the first month, 4 equal payments of $ 49.83 afterwards

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

Junior Coding II (Saturdays)

$175.00 for the first month, 4 equal payments of $115.00 afterwards

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

Junior Coding II (Thursdays)

$175.00 for the first month, 4 equal payments of $115.00 afterwards

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

Junior Coding IV(Saturdays)

$190.61 for the first month, 4 equal payments of $111. 19 afterwards

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

Junior Robotics II (Saturdays)

$175.00 for the first month, 4 equal payments of $115.00 afterwards

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

Junior Robotics II (Thursdays)

$175.00 for the first month, 4 equal payments of $115.00 afterwards

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

Junior Robotics II (Wednesdays)

$175.00 for the first month, 4 equal payments of $115.00 afterwards

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

Primary Robotics II (Saturdays)

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

Primary Robotics II (Thursdays)

$158.06 for the first month, 4 equal payments of $92.20 afterwards

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

Primary Robotics IV (Saturdays)

$158.06 for the first month, 4 equal payments of $92.20 afterwards

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

Primary Robotics IV (Thursdays)

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

Vex IQ Competition Program (Tier 1) (October-April 2026)

$824 for the 1st month, 4 equal monthly payments of $480 after

$824.00CAD for the first payment then,$480.00CAD for each month

Vex IQ Competition Program (Tier 2) (October-February 2026)(Sunday)

$459 for the first month, 4 equal payments of $268 afterwards

$459.00CAD for the first payment then,$268.00CAD for each month

Vex IQ Competition Program (Tier 2) (September-January 2026) (Wednesday)

$459 for the first month, 4 equal payments of $268 afterwards

$459.00CAD for the first payment then,$268.00CAD for each month

VRC Competition, (December-April 2026)

$729 for the first payment, 3 equal payments of $463 afterwards

$729.00CAD for the first payment then,$463.00CAD for each month

Boswin Fall/Winter Program Registration

Student Information

Guardian 1 Information

Guardian 2 Information

Primary Emergency Contact

Secondary Emergency Contact