Spring 2018 Program Term (March 26-June 15)
Select one or more programs:*

Please note all programs take place at the MacPhee Centre for Creative Learning, 50 Queen Street, Dartmouth, NS. For more detailed information about each program, please visit macpheecentre.ca/current-programs
Student Name*

First Name

Last Name

Address 1

Address 2




Postal Code
Student Email
Student Phone Number
Preferred method of contact for Student
School attended*
Parent/Guardian Full Name*
First Name Last name
Parent/Guardian Mobile Phone #*
Parent/Guardian Email*
Preferred method of contact for Parent/Guardian*
Emergency Contact Name*
First Name Last Name
Emergency Contact Phone #*
Is this your first program with MacPhee Centre for Creative Learning (MCCL?)

How did you learn about MCCL?
Do you have any medical conditions or allergies we should know about?*
We will do our best to accommodate your needs for snacks.
What form of transportation will you use to get to/from MCCL?
Is there anything else about yourself you'd like to share?
I give MCCL permission to use photos, videos, quotes belonging to me (Student registering) *

I would like to learn more about MCCL upcoming events and programming, receiving bi-weekly newsletters.*