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EarlyON / ON y va Program Registration

Please note we are closed Wednesday December 14 and 15 for Professional Development and closed December 24 to January 2for Holidays.

Parent's Name(Required)

First Last

Second Parent's Name(Required)

First Last

Additional parent?

Yes

Child's Name(Required)

First Last

Child's Age(Required)

Age indicated in months or years?(Required)

Months

Years

Additional Child?

Yes

No

Second Child's Name(Required)

First Last

Second Child's Age(Required)

Age indicated in months or years?(Required)

Months

Years

Additional Child?

Yes

No

Third Child's Name(Required)

First Last

Third Child's Age(Required)

Age indicated in months or years?(Required)

Months

Years

Additional Child?

Yes

No

Fourth Child's Name(Required)

First Last

Fourth Child's Age(Required)

Age indicated in months or years?(Required)

Months

Years

Postal Code(Required)

Phone(Required)

Email(Required)

I would like to register for:(Required)

Please select a date and time from the above dropdown.

*Once registered, you will receive a confirmation email (may default to junk inbox, please check)

More info on dates and locations

Phone

This field is for validation purposes and should be left unchanged.

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