HCA 2019/2020 Registration Form
Please note until payment is received, registration is not complete. An HCA Admin member will follow up with each registration to confirm receipt of form, payment method, and payment breakdown. If you have any questions, please email info@hcarts.ca or call 905-528-4020.
Email address *
Full Course Name (as listed on Website) *
Your answer
Student Name *
Your answer
New or Returning Student?
Student Date of Birth *
Your answer
Grade Entering in School (if applicable)
Your answer
Parent/Guardian Name (if applicable)
Your answer
Full Address (Street, City, Postal Code)
Your answer
Main Phone # *
Your answer
Alternate Phone #
Your answer
Please list any student medical conditions/allergies/behavioural concerns
Your answer
There are times when the media runs stories of the activities we have at HCA, or we like to take photographs/video to be kept on file, and used in duture promotional and/or informational brochures, posters, newsletters, web pages, and advertisements for HCA and other related publications. Do you give consent for the student to be photographed or video taped? *
Payment Options: *
A copy of your responses will be emailed to the address you provided.
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