Dialog window

Parent Name *

Email *

Mobile Phone *0 / 12

Secondary Phone *0 / 12

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal code

Child One

Child 1 Full Name *

Child 1 Birthdate *

Age (Child 1) *0 / 2

Child 1 Allergy List

Child Two

Child 2 Full Name

Child 2 Birthdate

Age (Child 2)0 / 2

Child 2 Allergy List

Child Three

Child 3 Full Name

Child 3 Birthdate

Age (Child 3)0 / 2

Child 3 Allergy List

Child Three

Child 4 Full Name

Child 4 Birthdate

Age (Child 4)0 / 2

Photo/Video Consent *Do you allow photographs or videos of your child to be taken and used for school purposes or advertisements for Dante of Winnipeg?YESNO

Checkbox *I confirm that the information provided on this registration form is accurate and complete. I understand and agree to the class policies, including attendance, payment, cancellation, and classroom conduct guidelines. By checking this box, I acknowledge that I am registering for the language class and accept the terms and conditions outlined by the school.Yes

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