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Kids Art & Culinary Club 5779/2018-19 Registration Form

* Denotes required field

First Name*  
Last Name*  
Mother's First Name*  
Mother's Last Name*  
Father's First Name*  
Father's Last Name*  
Birthday*  
Jewish Birthday  
School*  
Grade*
Address 1*  
Address 2  
City*  
Province*  
Postal Code*  
Phone*  
Alternate Phone Number  

Email* 

 
   
~If your child chooses to attend a complete session, please do not check off individual lessons.~  
Session 1: Oct 14th - Nov 18th  $ 72.00 - Member
Individual Lessons $15.00 
Please check events attending for the second session:
Sunday October 14th
Sunday October 21st
Sunday October 28th
Sunday November 4th
Sunday November 11th
Sunday November 18th
Session 2: Jan 13th- Feb 17th**  $ 60.00 - Member
Individual Lessons $15.00 
Please check e attending for the second session:
Sunday January 13th
Sunday  January 20th
Sunday  January 27th NO CLASS
Sunday February 3rd
Sunday February 10th
Sunday February 17th

**Note: there will be no Lesson on January 27th.


PAYMENT:

Total: 

Credit Card Type*

Credit Card Number*

Expiration Date*

Name on Card*


Notes (allergies...) :

*Note: Non-Members MUST reserve by weekly Wednesday 12 pm.

 

For more information please call 514-917-5770