Register for ACT | Strum Fun!

Fill out the form below to register for ACT Program | Strum Fun.

You will receive a confirmation email when your registration is complete. If you do not receive a confirmation email, please check your junk mail.

Which session are you interested in attending?

If a session is not appearing, it is sold out

Session Information

Session ID

Start Date

Time

Cost (CAD)

All prices reflect the current prorated cost of the program.

Details

Location

Room

Child Information

Child's First Name

Child's Last Name

Birthdate

School Child Currently Attends

Does your participant have any medical conditions, allergies, or medications we should know about?

YesNo

If yes, please specify below

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Phone Number

Email Address

Address

Town/City

Postal Code

I would like to be added to the ACT Program email mailing list. (Optional)

YesNo

Secondary Contact Information

Secondary Contact First Name

Secondary Contact Last Name

Secondary Contact Phone Number

Relationship to Child

Photo/Video Consent
I have read and agree to the photo/video consent terms and I grant MCRC permission to use photos of my participant on their social media accounts, website, and on promotional materials:
View the photo/video consent terms

YesNo

Refund Policy
View the refund policy

I have read and agree to the refund policy

Payment Information

Total Amount Due:

Name on Card

Card Number

Code

Billing Email

You must select a program to attend. If none are available, all programs are sold out.

Contact Information