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.Format: (000) 000-0000.

Cell Phone

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

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

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

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):

Vex IQ Competition Program (Tier 2)(May, June, September-April, 2027)

First payment of $640 and 8 equal payments of $186.77 per month after

$640.00 CAD for the first payment then,$186.77 CAD for each month

Vex IQ Competition Program (Tier 2)(September-April, 2027)

$550.00 CAD for the first payment then,$256.64 CAD for each month

Vex IQ Competition Program (Tier 1) (May, June, September - April, 2027)

First payment of $1584 and 8 equal payments of $461.99 per month after

$1,584.00 CAD for the first payment then,$461.99 CAD for each month

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

Boswin Fall/Winter Program Registration

Student Information

Guardian 1 Information

Guardian 2 Information

Primary Emergency Contact

Secondary Emergency Contact

My Products (including tax):

Boswin Fall/Winter Program Registration

Student Information

Guardian 1 Information

Guardian 2 Information

Primary Emergency Contact

Secondary Emergency Contact

My Products (including tax):*

My Products (including tax):