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Registration
Jazz
Saturday from 10:00 am to 10:30 am starting September 13th, 2025
Location :
Émeraude, 344 Maloney Est
Total :
$250.00 plus taxes
Number of Lessons :
32
Registration ends at :
October 1st, 2025 at 3:01 pm
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Participant's first name :
Participant's last name :
Participant's gender :
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Prefers not to disclose
Participant's date of birth :
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Health Insurance number :
Health Insurance Card Expiry :
January
February
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Particular health conditions of the participant :
ADD
ADHD
ASD
Asperger syndrome
Asthma
Behavioural disorder
Breathing problem
Cardiac malformation
Cystic fibrosis
Diabetes
Dysphasia
Dyspraxia
Egg allergy
Epilepsy
Fish allergy
Food allergy
Hypoglycemia
Kiwi allergy
Language disorder
Latex allergy
Myopathy
Nephrotic syndrome
Peanut or nut allergy
Penicillin allergy
Seafood allergy
Tourette syndrome
Trisomy (adult required)
Visual impairment
Others (if applicable):
Inscription du groupe aux 4 compétitions :
Frais pour l'inscription
Inscription du groupe aux 4 compétitions —
$280.00 plus taxes
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