Keyboarding at Montcrest Program Registration

Keyboarding for Kids at Montcrest 2012 - 2013 Application Form

Please complete the below form to register for the Keyboarding for Kids program at Montcrest. A separate form must be submitted if you are registering more than one child.

Step 1 of 3

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Child's Name*
FirstLast
Date of Birth*
Age*
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Parents' Name*
Home Phone*
Work Phone (Mother)
Work Phone (Father)
Cell Phone
Email*
School attending in September 2012?*
Emergency Contact*
FirstLast
Relation to Child*
Emergency Contact Number*

Please complete:
Tell us a little bit about your child's attitude toward computers and keyboarding.*
How would you best describe your child's current keyboarding ability?*
What goals/areas would you like to see worked on?*
Does your child have a learning disability or ADHD? If so, please describe.*
Has your child attended any other keyboarding programs? (please specify)*
Please exclude any LDATD programs
Additional comments

Participation
Only 10 participants per group. Groups meet on Thursday's from 4:30pm - 5:45pm at Montcrest School, 658 Broadview Ave.
Please choose a session package*
- One 7-week session
- 3 session package
Training Session Dates*
- Apr. 12 - May. 24
Please choose a training sessions date(s)
Total
$ 0.00 CAD
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