Web Registration Receipt

Date:

11/16/2024

* Mandatory Fields

* First Name:

* Last name

* Address
* City
* Province		* Postal Code

* Email			I DO NOT have an email address
* Confirm Email		* Main Phone #

* Emergency
Contact Name

* Contact Ph#

Program

Fee

1. Computers Dance Education Fitness Music-Art Games Social Special Event

Time:	to:
Date:	to :	on
Level:	For :	lessons
	Instructor :

2. Computers Dance Education Fitness Music-Art Games Social Special Event

Time:	to:
Date:	to :	on
Level: Language:	For :	lessons
Location:	Instructor :

3. Computers Dance Education Fitness Music-Art Games Social Special Event

Time:	to:
Date:	to :	on
Level:	For :	lessons
Location:	Instructor :

4. Computers Dance Education Fitness Music-Art Games Social Special Event

Time:	to:
Date:	to :	on
Level:	For :	lessons
Location:	Instructor :

Totals

$0.00

The Prov. of Ontario and the City of Toronto subsidizes some program costs for seniors. Please select your age range: are you:
55-59 60-69 70-79 80+

*Payment
Method

Online - Credit Card
In Person - Cash / Cheque / Credit Card

If the total is $0.00, select "in-person" and you do not need to come into SPLC
All amounts over $10 must be paid by credit card
In person - Cash / Cheque / Credit card - please go to Recreation office

Please call 493-3333 x 802 or email to allrecreation@splc.ca if any questions

Comments

Missing name / contact details
Age range not selected
No program selected
Payment method not specified

3333 Finch Ave East, Scarborough, Ontario, M1W 2R9 Tel: (416) 493-3333