Step 1 of 4 25% The Québec Board of Black Educators BANA Summer Institute 2025 program RegistrationThis field is hidden when viewing the formPlease select your preferred location Marymount Academy Verdun Elementary CONTACT INFORMATIONChild InformationName* First Name Last Name Address* #civic, street City Postal Code Gender* M F Date of Birth MM slash DD slash YYYY CONTACT INFORMATION CONTINUEDParent Information:Parent* Father Mother Guardian Name* First Name Last Name Address same as student? Yes Address* #civic, street City Postal Code Home Phone*Cellular No.Email address* Choose Your ScheduleCamp Payment Full Payment - $775.00 Installment Plan (3) - $266.67 Weekly Payment - $150.00 Member Camp Payment Member Full Payment $700.00 Installment Plan (3) - $ 245.00 Member Weekly Payment $120.00 Add Another Child 2nd Child 3rd Child 4th Child 5th Child Add Another Child 2nd Child 3rd Child 4th Child 5th Child Add Another Child$75 per child per week 2nd Child 3rd Child 4th Child 5th Child Add Another Child$60 per child per week 2nd Child 3rd Child 4th Child 5th Child Add Another Child$133.33 per installment 2nd Child 3rd Child 4th Child 5th Child Add Another Child$122.50 per installment 2nd Child 3rd Child 4th Child 5th Child Are you interested in daycare services? Yes, I need mornings Yes, I need afternoons Yes, I need both Daycare Mornings and Afternoons $65 per week 1 week 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks Morning daycare schedule 8:00 AM – 9:00 AM Afternoon daycare schedule 4:00 PM – 5:00 PMDaycare Mornings and Afternoons $50 per week 1 week 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks Morning daycare schedule 8:00 AM – 9:00 AM Afternoon daycare schedule 4:00 PM – 5:00 PMDaycare Mornings $30 per week 1 week 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks Morning daycare schedule 8:00 AM – 9:00 AM Daycare Mornings $20 per week 1 week 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks Morning daycare schedule 8:00 AM – 9:00 AM Daycare Afternoons $30 per week 1 week 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks Afternoon daycare schedule 4:00 PM – 5:00 PMDaycare Afternoons $40 per week 1 week 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks Afternoon daycare schedule 4:00 PM – 5:00 PMPaymentSubtotal $ 0.00 CAD Processing Fee Price: $ 0.00 CAD Early Registration Discount $ 0.00 CAD Code Total Credit Card Cardholder Name Card Details EmailThis field is for validation purposes and should be left unchanged.
