Back to website

Registration

LA PRAIRIE Adrénaline

Tuesday from 7:30 pm to 8:30 pm starting January 14th, 2025

Location : École de danse Stomp your feet, 5 rue Guy Local 1 Saint-Constant J5A 1A7
Total : $200.64 plus taxes
Number of Lessons : 16
Available Places : 4 / 6
Registration ends at : December 22nd, 2024 at 11:00 pm

Activity Info
Pour les élèves sélectionnés pour la Troupe compétitive Adrénaline. Au studio de La Prairie

Register to this activity

Participant no. Remove

Participant's first name :

Participant's last name :

Participant's gender :

Participant's date of birth :

Health Insurance number :

Health Insurance Card Expiry :

Particular health conditions of the participant :

ADD
ADHD
ASD
Asperger syndrome
Asthma
Behavioural disorder
Breathing problem
Cardiac malformation
Cystic fibrosis
Diabetes
Dysphasia
Dyspraxia
Egg allergy
Epilepsy
Fish allergy
Food allergy
Hypoglycemia
Kiwi allergy
Language disorder
Latex allergy
Myopathy
Nephrotic syndrome
Peanut or nut allergy
Penicillin allergy
Seafood allergy
Tourette syndrome
Trisomy (adult required)
Visual impairment
Others (if applicable):

Add new participant

© 2024. Site powered by ProInscription.