Le REC Room Winter 2019 Registration
REGISTER HERE FOR ALL OF OUR 2019 WINTER SESSION CLASSES! Session begins January 17th 2019
Email address *
Child’s first name *
Your answer
Child’s last name *
Your answer
Child’s date of birth *
MM
/
DD
/
YYYY
Parent/Guardian First & Last name *
Your answer
Phone Number *
Your answer
Home address *
Your answer
Any relevant medical or behavioural information we need to know? *
Your answer
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