WIBCA's Saturday Morning Tutorials Registration Form
For Students

Saturday Morning Tutorials will be held every Saturday from 10:00 to 12:00 via Zoom

For more information please contact education@wibca.org or call at (514) 683-3925
Email address *
Student Information
Last Name *
First Name *
Age *
Sex
Clear selection
Street Address *
Apartment Number *
Postal Code *
City *
Home Telephone *
Mother's Name *
Mother's Address *
Mother's Phone Number *
Father's Name *
Father's Address *
Father's Phone Number *
Legal Guardian's Name (if applicable)
Legal Guardian's Address (if applicable)
Legal Guardian's Phone Number (if applicable)
Emergency Contact's Name *
Emergency Contact's Phone Number *
Relation to Emergency Contact *
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