Contact's Name
*
First Name
Last Name
Student's Name
*
First Name
Last Name
Has STUDENT previously been in our program
*
Yes
No
Birthday
-
Year
-
Month
Day
Date Picker Icon
Register another parent or grandparent?
Yes
No
Student's Name
*
First Name
Last Name
Has STUDENT previously been in our program
*
Yes
No
Birthday
-
Year
-
Month
Day
Date Picker Icon
Contact's Phone Number
*
-
Area Code
Phone Number
Contact's E-mail
*
Calculate final cost
*
prev
next
( X )
Weekdays 1pm OR 4pm
$
38.00
CAD
Weekdays 5pm
$
48.00
CAD
Weekdays 6pm
$
58.00
CAD
Weekdays 7pm
$
68.00
CAD
Weekends
$
68.00
CAD
Subtotal
$
0.00
CAD
Tax
$
0.00
CAD
Total
$
0.00
CAD
Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit Parent/Grandparent
Should be Empty: