ONLINE REGISTRATION TEMPORARILY UNAVAILABLE DUE TO SECURE HOST'S MAINTENANCE JUNE 3, 2008. THANK YOU FOR YOUR PATIENCE PLEASE PHONE IN REGISTRATIONS AT 604-777-1779
Jump Start North Shore Schedule June-Aug 2008

Jump Start is excited to announce that as of September 2007, you can find us at our new North Shore location at #3-431 Mountain Hwy.
Classes start June 19, 2008

Additionally, we have Wednesday classes at St Andrew's United Church at 1044 St George's Ave
Classes start June 4, 2008


Register Below: classes start June 4 or 19
or phone 604-777-7179
Summer Classes 2008
St Andrew's (1044 St George's)
All Together Now- (Family Music ages 1-4)
Wed 9:30-4 wks 45 min $44-
Session I June 4, 11, 18, 25
St Andrew's (1044 St George's)
Puddlejumpers (16 months-3 yrs) 45 min
Wed 10:30- 4wks $44
Session I June 4, 11, 18, 25
St Andrew's (1044 St George's)
All Together Now- (Family Music ages 1-4)
Wed 9:30-4 wks 45 min $44-
Session 2 August 6, 13, 20, 27
St Andrew's (1044 St George's)
Puddlejumpers (16 months-3 yrs) 45 min
Wed 10:30-4 wks 45 min $44-
Session 2 August 6, 13, 20, 27
Alchemy- #3-431 Mountain Hwy
Jollyjumpers (0-18 months) 45 min
6 or 8 week option for summer!

Thu 10:30 -$66 or $77 (6/8 wks)
June 19- Aug 7

 


NEW AND RETURNING FAMILIES REGISTER BELOW

Select Age Group and class time for a maximum of 2 children:
(Please put additional children on a separate form.)

Studio: Returning New

Jollyjumpers (newborn to 18 months) / Class time and day: (Alchemy Centre) Fees $66/ 6 weeks / $77 / 8 weeks

If choosing 6 weeks, please list the 2 weeks you'll miss:

All Together Now (Mixed age 1-4yrs) $44/ child 4 weeks (St Andrews)

Puddlejumpers (16 mo to 3 1 /2 yrs) / Class time and day: $44 / child 4 weeks (St Andrews)

In the event that your class is full, please indicate another suitable class time(s): (optional)

Personal Information:

How did you hear about us?

Print Ad Event Internet

Friend - Frient / Event Name:

Parents' Names: (first & last please)
Adult attending if not parent:
Email:
Phone:

Child's Name 1 (first and last)
Birthdate:
Child's Name 2 (first and last)
Birthdate:
Address: City:
Postal Code:

Payment information: **Please note that for security reasons, we do not advise dropping payments off with other merchants in our building.

Taking advantage of our 5 Friends Free Fun Offer? Have 5 friends new to Jump Start who will be registering this week? Let us know who to watch for:

Payment Amount :
Additional payment instructions / comments:

I will be paying by:

In full by cheque- (MAIL TO #74-1240 Falcon Drive, Coquitlam, BC V3E-2B4)

In full by credit card - You will be automatically directed to the secure credit card page after submitting this form.

Policies:

Please click the link to the left to view our policy page.

I the undersigned have read and understood the attached policies and agree to the terms within. I wish to register my child for the class indicated. I understand that photographs taken in class may be used without financial compensation, unless ohterwise indicated by me in writing. Checking this box indicates my agreement that I will not hold Jump Start Music & Movement / Alchemy Centre responsible for any loss, damages or injury incurred directly or indirectly from participation in the Jump Start Program. If paying by credit card, checking this box also constitutes authorization to charge said card.

 

 

 

 

Come for free!

When 5 friends new to Jump Start register (with your name in the referral section of their form) within 1 week of your registration, you get your session free!