|Event, or membership|
|City, Prov.||, Postal Code|
|Phone Date of birth|
|Enter Promo code (if you have one)|
|Fields shown in red are required.|
*Please note: Candidates for membership must complete and sign an application form before their first lesson.
The signature of a parent or guardian is also required for students under 18 years of age. Click the link below for a printable application form:
If you are signing up for a special workshop, seminar or course, you must complete and sign a waiver form.
The signature of a parent or guardian is also required for students under 18 years of age. Click the link below for a printable waiver form:
Check here if you would like to receive the appropriate form by regular (surface) mail (be sure to include your full address, including postal code on the form above).
PAYMENT (if applicable): Payment for classes or workshops at our Ottawa location can be made by cheque payable to Gary Eikenberry or cash at the time of your first workshop or class. Alternatively, you can use the PayPal on-line payment system to pay with a credit card or directly from your bank account. We also accept payment by Interac™ email transfer. We are NOT ABLE to accept credit or debit cards when you pay in person.
*Programs at Winning Circle in Kanata are offered through and payable at Winning Circle (credit and debit cards accepted).
Did you fill in the big red box?