ITALO BAMBINI
ITALIAN CAMP
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Italian Sessions Registration
General Information
Is this a gift?
*
Yes
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Name
*
First Name
Last Name
Child Last Name
*
Child First Name
*
Child Date Of Birth
*
DD slash MM slash YYYY
Child Gender
*
Male
Female
Parent Last Name
*
Parent First Name
*
Address
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Address 1
Address 2
City
Province
Select Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
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Postal Code
Home Phone Number
*
Cell Phone Number
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Parent Email Address
*
How did you hear about us?
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Google
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Other
Other
*
Location
*
Please Select Location
Kleinburg Oct 12 to Dec 14 10am to 12 Klein House
Etobicoke Oct 12 to Dec 21 10am to 12 TBA
Age
*
Please Select Age
4 - 6
7 - 12
10:00 am - 12:00 pm
$300 / 10 2-Hour Sessions
Klein House
1:00 pm - 3:00 pm
$300 / 10 2-Hour Sessions
Klein House
10:00 am - 12:00 pm
$300 / 10 2-Hour Sessions
Humber Valley United Church
1:00 pm - 3:00 pm
$300 / 10 2-Hour Sessions
Humber Valley United Church
Sub Total
Price:
$ 0.00 CAD
HST
Price:
$ 0.00 CAD
Total
$ 0.00 CAD
Credit Card
*
American Express
MasterCard
Visa
Supported Credit Cards: American Express, MasterCard, Visa
Card Number
Expiration Date
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
Security Code
Cardholder Name
Terms and Conditions
*
I accept Italo Bambini Italian Camp Inc.
Terms and Conditions
Certify All Information
*
By entering my child's information, I acknowledge and certify all information
*
indicates the required field