Registration, Enrolment, and Fee Payment Form

Please fill out the information for student registration and class enrollement on this form. If there are multiple students registering from the same household, please use a seperate form for each student. The form is dynamic, therefore new fields will appear as you proceed with filling out the required information.

Student Name

First NameLast Name

Are you Above the Age of Majority i.e. 18 yrs and Older?

Enter your Date of Birth (if under 18 yrs of age)

Date

Parent or Guardian Name (if student is below 18 yrs of age)

First NameLast Name

Parent or Guardian Contact Number (if student is below 18 yrs of age)

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

Parent or Guardian Email (if student is below 18 yrs of age)

example@example.com

Student E-mail

Confirmation of your order goes to this email

Student Phone Number

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

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact Name

First NameLast Name

Emergency Contact Phone Number

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

Select The Program You Wish to Register For

Has the student already paid the Annual Registration Fee for this year? Select from the options below. If you selected No then please check Annual Registration Fee field in the next section (An annual registration fee of $30 is mandatory and must be paid at the start of the school year, which is in September. There are three terms in each year Fall (Sep- Dec) , Winter (Jan - March) Spring (April - June). Students can enrol in as many classes in a year as they like, only ONE registration fee is required to paid for the year.(Sep - June)

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Student Registration