Summer Registration 2024

Please complete our summer registration form below.  We will then contact you to confirm your spot.


Questions can be directed to connect@reframeeducation.ca in confidence.
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Email *
Name of Student *
 New or returning client? *
If returning, please indicate previous practitioner:
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Student email: (if applicable)
Student phone: (if applicable)
Parent name: (if applicable)
Parent email: (if applicable)
Parent phone: (if applicable)
Emergency contact information:                              (include name, email, phone)
Select grade or adult learner: *
Name of school attending: 
Select session format: *
Select session type(s):  *
Required
Select days preferred: (minimum twice a week for OG sessions)

Select session frequency: (based on 50 minute sessions)
Clear selection
Select session block for daily sessions
Check all that apply
(Note: no sessions July 1st and August 2nd)
Select preferred times: (based on practitioner availability)
Student strengths: *
Student areas of development: *
Kindly let us know how you heard about us?
Please use the space below for any questions or additional information that will help us individualize your program.
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