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Genius Owl Programs Registration Form
DIGI-FIT Registration Form (2018 Programs)
Add another student
A block of 10 hours in Richmond Hill for one student $390
A block of 10 hours in Richmond Hill for two students $450
A block of 10 hours in Richmond Hill for three students $490
A block of 10 hours out of Richmond Hill for one student $490
A block of 10 hours out of Richmond Hill for two students $550
A block of 10 hours out of Richmond Hill for three students $590
Parent's Full Name
Preferred location for the sessions
at a public library
Choose a public library
Richmond Hill Central
Richmond Hill Richvale
Markham public library (3990 Major Mackenzie Drive E)
Vaughan Civic Centre Resource Library
How did you learn about Genius Owl services?
Word of mouth
Your flyers/business cards
Other (please specify)
What was your Google search word(s)?
What's the main social media platform you use?
Incl. HST & 3% credit card fee
Use Interac & Save 3%
to choose your bank and transfer the Interac fee above to email@example.com.
: you will be taken to a PayPal screen to complete payment. You don't need a PayPal account.
TERMS & CONDITIONS: please review and initial the following before continuing to payment.
WAIVER: In consideration of my (and/or my child(ren) and our guests') participation in this activity, I hereby release and discharge Genius Owl Digital Media and its representatives, successors, and assigns, from any and all liability arising from accident, injury, and illness that I (he/she/they) may suffer as a result of my (our) participation in this activity. I (we) also will follow the rules and regulations set by Genius Owl Digital Media and above named parties. Parent or guardian must sign for anyone age 18 and under.
I do hereby grant and give these groups the right to use my or my child(s) photograph or image with or without my or my child's name, both singly and in conjunction with other persons or objects and presentations, advertising, publicity, and promotion relating thereto.
I acknowledge that I have carefully reviewed and consent to the waiver set forth above. Please check the box first and then initial here:
Please note: without a valid payment, your registration is not valid.