Connect (Ages 9 to 11)

1
Parent/Guardian Name* This field is required.
First Name
Last Name
2
Email* This field is required.This email will be used to join our video call and receive communications in regards to the program.
example@example.com
3
Your Child's Name and Birthdate* This field is required.Reminder: Please only add children that are joining the ages 9to11 program.
4
How would you like to pay?* This field is required.We will send you a follow up invoice to your email based on your decision.
Until June - ($300 CAD one time payment)
Instalments until June ($50 CAD/month)
Until March - ($150 CAD one time payment)
Instalments until March ($50 CAD/month)
I've already paid until June.
5
Media Consent* This field is required.Calls are recorded and sometimes used for marketing, promotions, and showcases. Do we have your permission to use images and videos of your child in our marketing/promtions/showcases?
Yes, I give consent
No, I do not consent
Maybe. Ask me everytime
Other
Should be Empty: