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Mother's full name:

Child's full name:

Telephone number:

Email address:

Time choice for upcoming winter session:
JANUARY 11-APRIL 5 (Closed Jan. 25)

LOCATION
Until Feb. 22: 356 Elgin Mills Rd. W
Feb. 22-April 5: 10500 Bathurst St.

9:15-10:15
10:15-11:15

Donations optional

I would like to give a donation in the amount of: $

Payment: Visa MC

Card number

Exp month and year

Name

Address

City , Province Postal