Registration Form for NEW REGISTRANTS: Individual 1-on-1 classes.

Day/time: TBD. Age: 7-99 yrs. Cost: $84.96 + HST (13%) = $96
To register please fill out and submit the on-line form below. To complete the registration please submit the payment (cash, cheque or e-transfer). Cash and cheques (payable to iCreate) can be submitted to our studio location at 987 Clarkson Rd. S. L5J 2V8, Unit 102, Misssissauga, ON. E-transfer can be sent to artstudioicreate@gmail.com.
We confirm receiving of the payment and registration by phone or email.

Sections shown in bold are mandatory
Please fill out non-bold sections for registrants younger than 16

Desired starting date:
Select any number of classes between 1 and 10:
Registrant‘s First Name:
Registrant‘s Last Name:
Registrant‘s age (if younger than 16):
Male / Female / N/A (Optional): M    F    N/A   
Parent‘s name (if younger than 16):
Other emergency contacts:
Address:
Phone number:
E-mail (for organizational purposes):
Would you like to receive occasional update email about our programs? Yes    No   
May we use photos of you or your child in class on our promotional materials? Yes    No   
Please list your or your child‘s allergies or health issues our staff should be aware of:
Notes (Optional):
Program Disclaimer
I have read and agree with the Program Disclaimer: Yes    No   
Your First Name:
Your Last Name:
 August 15, 2022