Register first student

Contact's Name

First NameLast Name
Student's Name

First NameLast Name
2019/20 Session

Session 2: Starts the week of November 10th

Session 3: Starts the week of January 19th

Session 4: Starts the week of March 22nd

Session 5: Starts the week of June 8th
Choose session
Select Class
* Sunday classes not available for session 5
Has STUDENT previously been in our program
Birthday

YearMonthDay
Contact's Phone Number

Area CodePhone Number
Contact's E-mail

Required: Check ONE box only

Weekdays 1pm OR 4pm$68.00 CAD

Weekdays 5pm$78.00 CAD

Weekdays 6pm$88.00 CAD

Weekdays 7pm $98.00 CAD

Weekends$98.00 CAD

Subtotal Tax Total $0.00 CAD

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