Information form

So that I may evaluate your child's needs, please tell us about yourself and your child
(For residents of the Ottawa, Ontario, area ONLY, please)

OR Click HERE for a PDF of my registration form to mail in.

Your e-mail
   (Required)
Your name
   (Required)
Phone number
   (Required)
Street ("Snail") address
   (Required)
City
Postal code
Your child's birth date (for class placement)
  (MM/YYYY)
Additional child's
birth date
  (MM/YYYY)
OR ---------- your preferred program (if known) 
(level)

(class)
Any comments?

Submittal of this form does not constitute a contract, and is non-binding on both parties.  Once placement is confirmed and if space is available, firm registration may be arranged by private email or by phone.  Payment must be made by cash or cheque to confirm registration.

Last updated March 01, 2010