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Registration Form
Personal & Contact Information
First Name
*
Last Name
*
Contact Number
*
Email
*
Emergency Contact Name
*
Emergency Contact Number
*
Parent/Gurdian/Caregiver Name
*
Address
Street
*
City
*
Province
*
Postal Code
*
Choose Applicable Dates
Monday - 16th, March, 2026 ( Price: $60.00 )
Tuesday - 17th, March, 2026 ( Price: $60.00 )
Wednesday - 18th, March, 2026 ( Price: $60.00 )
Thursday - 19th, March, 2026 ( Price: $60.00 )
Friday - 20th, March, 2026 ( Price: $60.00 )
Graduates Contact Us ( Price: $0.00 )
TOTAL FEES : $
0
LIABILITY & CONSENT
I hereby grant The Wellspring Centre (The Spring) absolute right and permission to use my child’s name, photograph(s), video, and/or audio recordings/transcribed text, on its website, social media accounts and in other official printed publications without further consideration.
I acknowledge The Spring has the right to crop or treat the photograph(s)/video/audio at its discretion.
I also acknowledge that The Spring may choose not to use my photograph(s)/video/audio at this time, but may do so at its own discretion at a later date.
I Agree
How do you wish to pay?
By Credit Card
Pre-authorised debit
Please note that a 3.50 % transaction fee will be applied to payments made by credit card.
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