IC MOVIEOLOGY REGISTRATION FORM
Dates: 8 weeks, Jan 11 - Mar 5
All classes recorded and readily available if you are absent.
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Email *
Student's Name *
Parent's Name
Parent's phone number (eg. 416-123-4567) *
Preferred email for important messages and handouts *
What is your child's age? *
Required
How would you describe your child's skill-level? (Check all that apply.) *
Required
Please select your FIRST CHOICE time-slot: *
Required
Please select your SECOND CHOICE time-slot: *
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Please select your THIRD CHOICE time-slot: *
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Please list the first and last name of any students your child would like to be grouped with. **We will do our best to accommodate all requests.
Were you referred by someone? If so, please enter their name below.
Although we always strive to select safe, age-appropriate movie clips we recognize that everyone is different and may have different comfort-levels regarding the content screened in IC Movieology. Please list any special requests you may have re: content to avoid (eg. fighting, brief or mild profanity) and we will make best efforts to accommodate you.
I understand that I will have to send $226 ($200 CAD + HST) via email money transfer to movieology@imaginarycourtyard.com by October 16th to reserve my spot. *
Required
I would like to take advantage of the limited-time 50% sibling discount to enrol an additional child for just $113 ($100 CAD + HST ). I am aware that this only applies to siblings from the same household. *
Required
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