ADULT INTUITIVE CREATIVE STUDIO REGISTRATION Student Name(required) Primary Contact Email(required) Phone(required) Address (required) Class Type Registration 4 Class Package ($120.00) 8 Class Package ($240.00) Emergency Contact 1 Name and Phone (required) Emergency Contact 2 Name and Phone (required) Please list any allergies, medical history or pertinent personal information (e.g. use of EpiPen, neurodivergent needs, social accommodations etc. )(required) OHIP number(required) How did you hear about us? Select one option Search Engine Social Media Friend or Family Send Δ
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