Online Registration Form
for Information Session & Free Trial Lesson
(Most suitable for children from 5 to 11 years old.
New Pre-School program for 4 and 5 years old)
92 Brock St. W., Uxbridge ON L9P 1P4
Tel.: 905-852-6677
Parents / Guardian Attending the Information Session
Child(ren) Attending the Free Trial Lesson

Name:

City/Town:

Email:

Phone:   

How did you hear about ABS Abacus Brain Study?
  Fall Fair
  Website / E-Mail 
  Friend / Family
  Flyer
  Newspaper
  Pass by our Location
 

Other: Please Specify
 
Select one of the Trial Dates:

Name:     Age:

Name:     Age:

Name:     Age:

Current School:

Comments / Inquires:
After completing the information, press to send the registration form.

While parents / guardian attending the ABS Information Session,
children will be having their Free Trial Lesson at the same time.
Refreshments available.

For more information, visit www.AbacusUxbridge.com