Infinity Girl Registration - Spring 2022
YAH! We're thrilled to have you join our crew!

Spring Program Details:

Day / Time: Thurs 5:15 - 6:45pm
Dates: April 21 - Jun 10
Location: Private facility; 71040 A-B Goshen Line, Dashwood

If you have any questions, email contact@jessicavanraay.com or reach out to Jessica @ (226) 977-6422.
(Text is best because her sound is always off but she's happy to arrange a phone call as well anytime.)
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Full name [preferred pronoun] (preferred name)
Birth date [age] (grade)
Favourite colour:
Optional: Tell us a little bit about yourself. For example: favourite activities, something that has made you proud, favourite movie, etc.
Infinity Girl Program
Yes, I would be interested in holding a spot for the following Infinity Girl programs (no down payment):
Emergency contact: Name
Emergency contact: Phone number
Guardian(s) name(s):
Best email address for communication (registrant or guardian):
Registrant: Complete mailing address
Additional information: If there is anything we should know to help keep you safe (ex/ allergies, previous injuries) and thriving (ex/ learning style, preferences, stressors, mental health history), please describe below or share a convenient time to chat over email or phone.
Thank you for your interest! After registration has been submitted, you will receive email confirmation & invoice within 48 hours. NOTE: A detailed information packet will be sent to the above email address on Apr 7th.
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