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Student Name
*
First
Last
Age Group (Please select your age group from dropdown below)
*
7-9
10-13
Grade
*
Full Address
*
Country
*
— Select Choice —
Canada
USA
Name Student Parents
Parents Name
*
First
Last
Parents Email Address
*
Phone Number
*
Please enter in following format. For eg: 5196947891
Program Details
Format: Live Sessions on Zoom [ Ages 7-9 : 1 hour per session ] [Ages 10-13 : 1 hour 15 mins per session]
Please Choose Your schedule for classes (All times are in EST)
Monday ( 5:30 PM – 6:45 PM)
Monday( 7:00 PM – 8:15 PM)
Wednesday ( 5:00 PM – 6:15 PM)
Total Fees (monthly)
For US: 30$ & For Canada: 40 CAD
Consent and Agreement
*
I give consent and agreement for student registration
I understand that sessions will be conducted live on Zoom (EST)
I agree to follow the program guidelines and expectations
Photo & Video Consent
*
I give permission for photos and/or videos of my child to be taken during program sessions and used for promotional, educational, and marketing purposes (including website, social media, and program materials).
I do not give permission for my child’s photos or videos to be used publicly.
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