Smash Sports After School Program
Student Information
Full Name
*
First Name
Last Name
Age
*
Gender
*
Parent's Full Name
*
First Name
Last Name
E-mail
*
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which After School Program are you interested in ?
*
Twice a Week ( MMA & Arts)
Thrice a Week (MMA + Arts + Badminton / Baseball)
Full Week (MMA x 2 days + Arts + Badminton + Baseball)
Which sport would you choose for Thrice a Week Program
*
Badminton
Baseball
MMA 2 times a week
Any Additional details about the schedule ?
Would you require late pick up? Its is charged at $10 per day after 6pm.
*
Yes
No
Any Allergies or Medical Information that we should know about.
How did you know about this event?
*
Facebook
Instagram
Whatsapp group
Word of Mouth
Frontdesk at the Facility
Referral through a current customer
Back
Next
Terms & Conditions
Choose your preferred Schedule:
prev
next
( X )
MMA + Arts
Weekly Payment Plan
$
99.00
CAD
Weeks
Twice a Week
Thrice a Week
MMA + Arts + Badminton
Weekly Payment Plan.
$
129.00
CAD
Thrice a Week
Full Week
MMA + Arts + Baseball
Weekly Payment Plan.
$
129.00
CAD
Thrice a Week
Full Week
MMA + Arts + Badminton + Baseball
Weekly Payment Plan
$
189.00
CAD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please verify that you are human
*
Submit
Should be Empty: