Kids’ Active Living and Cooking Club | Regina Community Clinic

Mornings: ages 6-8

If your child is age 9-11 please see the registration form for kids age 9-11.

Childs Age*
Total
Price: $ 20.00 CAD
Name*
Email*
Address*
City*
Province*
Postal Code*
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
The Regina Community uses the transaction provider "Stripe" for website transactions. The billing name "Regina Community Clinic" will appear on your credit card statement.

We value your privacy. We will use the information you have provided to provide you with a response. We will protect your information and report to you immediately, in case of a breach. We will not sell or divulge your information to any other party. If you have questions about any of this, please direct them to: Regina Community Clinic at 306.543.7880.
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If your child is age 6-8 please see the registration form for kids age 6-8.

Childs Age*
Total
Price: $ 20.00 CAD
Name*
Email*
Address*
City*
Province*
Postal Code*
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
The Regina Community uses the transaction provider "Stripe" for website transactions. The billing name "Regina Community Clinic" will appear on your credit card statement.

We value your privacy. We will use the information you have provided to provide you with a response. We will protect your information and report to you immediately, in case of a breach. We will not sell or divulge your information to any other party. If you have questions about any of this, please direct them to: Regina Community Clinic at 306.543.7880.
Comments
This field is for validation purposes and should be left unchanged.

1106 Winnipeg Street	Tel: (306)543-7880
Regina, SK, S4R1J6	Fax: (306)543-5545