ACE After Four Online Registration

Welcome to ACE After Four Registration! Please complete the following registration form.
The non-refundable registration fee is $15 per child and ACE will contact you within a week of registration to make payment arrangements.
Fees for each class enrolled will be calculated based on the ACE fee structure (aceafterfour.ca/fees) and a fee statement will be sent to you in August along with a registration package.
Please email admin@aceafterfour.ca if there are any questions.

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

Province*

Postal Code*

Primary Phone*

Additional Info

Emergency Contact Info (Name, Number & Relationship)<br/>(Not Contact #1 or #2)*

Contact #1

Contact #1 First Name*

Last Name *

Relationship to Student*

How Can We Contact You?

Home Phone *

Work #

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Relationship to Student*

How can we contact you?

Home Phone *

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Grade (Upcoming Year)*

Allergies (Leave blank if NONE)

Medications and other Medical Info

Primary Doctor (Name/Phone #)*

Is immunization up to date?*

Epipen (Yes/No)

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Grade (Upcoming Year)*

Allergies (Leave blank if NONE)

Medications and other Medical Info

Primary Doctor (Name/Phone #)*

Is immunization up to date?*

Epipen (Yes/No)

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Grade (Upcoming Year)*

Allergies (Leave blank if NONE)

Medications and other Medical Info

Primary Doctor (Name/Phone #)*

Is immunization up to date?*

Epipen (Yes/No)

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Grade (Upcoming Year)*

Allergies (Leave blank if NONE)

Medications and other Medical Info

Primary Doctor (Name/Phone #)*

Is immunization up to date?*

Epipen (Yes/No)

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Grade (Upcoming Year)*

Allergies (Leave blank if NONE)

Medications and other Medical Info

Primary Doctor (Name/Phone #)*

Is immunization up to date?*

Epipen (Yes/No)

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Student #2 (Show-Hide Details)

Additional Info

Student #3 (Show-Hide Details)

Additional Info

Student #4 (Show-Hide Details)

Additional Info

Student #5 (Show-Hide Details)

Additional Info

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Required Policies

(Show-Hide Details)