iCreate studio Registration Form: Drawing and Painting for Youth 7-12 years.
Program time: Saturday, 7-12 yrs, 10.30 to 12.00 PM, 5-10 classes, Cost per class $27 (HST included).
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 info@icreate.ca.
We confirm receiving of the payment and registration by phone or email.

Desired starting date:
Select your number of classes:
Registrant‘s First Name:
Registrant‘s Last Name:
Registrant‘s age:
Male/Female: M    F   
Parent‘s/guardian‘s name:
Daytime and evening phone numbers:
Other emergency contacts:
Address:
E-mail (for organizational purposes):
Would you like to receive occasional update email about our programs? Yes    No   
May we use photos of your child in class on our promotional materials? Yes    No   
After classes my child will be: picked up    other   
Additional ‘pick up‘ or ‘other‘ details or persons:
Please list your child‘s allergies or health issues our staff should be aware of:
Notes:
Program Disclaimer
I have read and agree with the Program Disclaimer: Yes    No   
Your First Name:
Your Last Name:
 June 20, 2018