{"id":4178,"date":"2026-02-03T16:32:26","date_gmt":"2026-02-03T16:32:26","guid":{"rendered":"https:\/\/littlemedicalschool.com\/Niagara\/?page_id=4178"},"modified":"2026-04-08T16:30:15","modified_gmt":"2026-04-08T16:30:15","slug":"2026-summer-camp-registration","status":"publish","type":"page","link":"https:\/\/littlemedicalschool.com\/Niagara\/2026-summer-camp-registration\/","title":{"rendered":"2026 Summer Camp Registration"},"content":{"rendered":"\n\n\t<p>Note this registration form is for independently run Little Medical School Niagara summer camps hosted in Niagara Falls. For additional camp locations and their registration links, click <a href=\"https:\/\/littlemedicalschool.com\/Niagara\/summer-camps\/\">here<\/a>!<\/p>\n\t<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_31_36\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_36'>Child&#039;s age<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_31_36' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_31_164\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Where did you hear about us?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_31_164'>\n\t\t\t<li class='gchoice gchoice_31_164_0'>\n\t\t\t\t<input name='input_164' type='radio' value='Social Media'  id='choice_31_164_0'    \/>\n\t\t\t\t<label for='choice_31_164_0' id='label_31_164_0' class='gform-field-label gform-field-label--type-inline'>Social Media<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_31_164_1'>\n\t\t\t\t<input name='input_164' type='radio' value='Friend or Family'  id='choice_31_164_1'    \/>\n\t\t\t\t<label for='choice_31_164_1' id='label_31_164_1' class='gform-field-label gform-field-label--type-inline'>Friend or Family<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_31_164_2'>\n\t\t\t\t<input name='input_164' type='radio' value='Search Engine (Google)'  id='choice_31_164_2'    \/>\n\t\t\t\t<label for='choice_31_164_2' id='label_31_164_2' class='gform-field-label gform-field-label--type-inline'>Search Engine (Google)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_31_164_3'>\n\t\t\t\t<input name='input_164' type='radio' value='Little Medical School Website'  id='choice_31_164_3'    \/>\n\t\t\t\t<label for='choice_31_164_3' id='label_31_164_3' class='gform-field-label gform-field-label--type-inline'>Little Medical School Website<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_31_164_4'>\n\t\t\t\t<input name='input_164' type='radio' value='City Organizations'  id='choice_31_164_4'    \/>\n\t\t\t\t<label for='choice_31_164_4' id='label_31_164_4' class='gform-field-label gform-field-label--type-inline'>City Organizations<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_31_164_5'>\n\t\t\t\t<input name='input_164' type='radio' value='gf_other_choice'  id='choice_31_164_5'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_31_164_other' name='input_164_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_31_224\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Little Medical School Niagara 2026 Summer Camps<\/h2><\/li><li id=\"field_31_223\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_31_223 gfield_product_31_223 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >5 Day Camp | July 6-10th | 9:00am - 4:00pm<\/label><div class='gfield_description' id='gfield_description_31_223'>Location: Gate Alliance Church Niagara Falls<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_31_223'>\n\t\t\t<li class='gchoice gchoice_31_223_0'>\n\t\t\t\t<input name='input_223' type='radio' value='Little Veterinarian: Hold Your Horses (ages 6-11)|320'  id='choice_31_223_0'    \/>\n\t\t\t\t<label for='choice_31_223_0' id='label_31_223_0' class='gform-field-label gform-field-label--type-inline'>Little Veterinarian: Hold Your Horses (ages 6-11)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_31_223_1'>\n\t\t\t\t<input name='input_223' type='radio' value='Wilderness Medicine: Conquer the Great Outdoors (ages 7-12)|320'  id='choice_31_223_1'    \/>\n\t\t\t\t<label for='choice_31_223_1' id='label_31_223_1' class='gform-field-label gform-field-label--type-inline'>Wilderness Medicine: Conquer the Great Outdoors (ages 7-12)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_31_233\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_31_233 gfield_product_31_233 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >5 Day Camp | July 20-24th | 9:00am - 4:00pm<\/label><div class='gfield_description' id='gfield_description_31_233'>Location: Gate Alliance Church Niagara Falls<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_31_233'>\n\t\t\t<li class='gchoice gchoice_31_233_0'>\n\t\t\t\t<input name='input_233' type='radio' value='Little Veterinarian: Pawesome Adventures (ages 5-11)|320'  id='choice_31_233_0'    \/>\n\t\t\t\t<label for='choice_31_233_0' id='label_31_233_0' class='gform-field-label gform-field-label--type-inline'>Little Veterinarian: Pawesome Adventures (ages 5-11)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_31_233_1'>\n\t\t\t\t<input name='input_233' type='radio' value='Ocean Explorers: Sea Turtle Rescue Mission (ages 5-11)|320'  id='choice_31_233_1'    \/>\n\t\t\t\t<label for='choice_31_233_1' id='label_31_233_1' class='gform-field-label gform-field-label--type-inline'>Ocean Explorers: Sea Turtle Rescue Mission (ages 5-11)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_31_234\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_31_234 gfield_product_31_234 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >4 Day Camp | August 4-7th | 9:00am - 4:00pm<\/label><div class='gfield_description' id='gfield_description_31_234'>Location: Gate Alliance Church Niagara Falls<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_31_234'>\n\t\t\t<li class='gchoice gchoice_31_234_0'>\n\t\t\t\t<input name='input_234' type='radio' value='Little Veterinarian: Feline Friends (ages 5-10)|275'  id='choice_31_234_0'    \/>\n\t\t\t\t<label for='choice_31_234_0' id='label_31_234_0' class='gform-field-label gform-field-label--type-inline'>Little Veterinarian: Feline Friends (ages 5-10)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_31_234_1'>\n\t\t\t\t<input name='input_234' type='radio' value='Little Doctor: Future Physicians (ages 6-11)|275'  id='choice_31_234_1'    \/>\n\t\t\t\t<label for='choice_31_234_1' id='label_31_234_1' class='gform-field-label gform-field-label--type-inline'>Little Doctor: Future Physicians (ages 6-11)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_31_232\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_31_232 gfield_product_31_232 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >5 Day Camp | August 17-21st | 9:00am - 4:00pm<\/label><div class='gfield_description' id='gfield_description_31_232'>Location: Gate Alliance Church Niagara Falls<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_31_232'>\n\t\t\t<li class='gchoice gchoice_31_232_0'>\n\t\t\t\t<input name='input_232' type='radio' value='Sports Medicine: Medics in Motion (ages 6-11)|320'  id='choice_31_232_0'    \/>\n\t\t\t\t<label for='choice_31_232_0' id='label_31_232_0' class='gform-field-label gform-field-label--type-inline'>Sports Medicine: Medics in Motion (ages 6-11)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_31_232_1'>\n\t\t\t\t<input name='input_232' type='radio' value='Forensic Science: STEM Sleuths (ages 8-12)|320'  id='choice_31_232_1'    \/>\n\t\t\t\t<label for='choice_31_232_1' id='label_31_232_1' class='gform-field-label gform-field-label--type-inline'>Forensic Science: STEM Sleuths (ages 8-12)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_31_171\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">What to Bring<\/h2><div class='gsection_description' id='gfield_description_31_171'>Please provide a peanut-free lunch, two snacks, water bottle, sunscreen & a hat. <\/div><\/li><li id=\"field_31_97\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Checkout<\/h2><\/li><li id=\"field_31_98\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >How do you want to pay<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_31_98'>\n\t\t\t<li class='gchoice gchoice_31_98_0'>\n\t\t\t\t<input name='input_98' type='radio' value='PayPal'  id='choice_31_98_0'    \/>\n\t\t\t\t<label for='choice_31_98_0' id='label_31_98_0' class='gform-field-label gform-field-label--type-inline'>PayPal<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_31_98_1'>\n\t\t\t\t<input name='input_98' type='radio' value='e-Transfer'  id='choice_31_98_1'    \/>\n\t\t\t\t<label for='choice_31_98_1' id='label_31_98_1' class='gform-field-label gform-field-label--type-inline'>e-Transfer<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_31_183\" class=\"gfield gfield--type-coupon gfield--input-type-coupon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gf_coupon_code_31'>Promo Code<\/label><div class='ginput_container' id='gf_coupons_container_31'><div class='ginput_container_coupon'><input id='gf_coupon_code_31' class='gf_coupon_code' onkeyup='DisableApplyButton(31);' onchange='DisableApplyButton(31);' onpaste='setTimeout(function(){DisableApplyButton(31);}, 50);' type='text'    \/><input type='button' disabled='disabled' onclick='ApplyCouponCode(31);' value='Apply' id='gf_coupon_button' class='button'  \/> <img style='display:none;' id='gf_coupon_spinner' src='https:\/\/littlemedicalschool.com\/Niagara\/wp-content\/plugins\/gravityformscoupons\/images\/spinner.gif' alt='please wait'\/><\/div><div id='gf_coupon_info'><\/div><input type='hidden' id='gf_coupon_codes_31' name='input_183' value=''  \/><input type='hidden' id='gf_total_no_discount_31'\/><input type='hidden' id='gf_coupons_31' name='gf_coupons_31' value='' \/><\/div><\/li><li id=\"field_31_218\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_31_218 gfield_product_31_218 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_31_218_1'>Processing Fee<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_218.1' value='Processing Fee' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_31_218' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_218.2' id='ginput_base_price_31_218' value='$ 5.00 CAD' aria-label='Processing Fee Price' aria-describedby=\"gfield_description_31_218\" \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_218.3' value='1' class='ginput_quantity_31_218 gform_hidden' \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_31_218'>PayPal Processing Fee<\/div><\/li><li id=\"field_31_225\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_31_ gfield_total gfield_total_31_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_31_225'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_31'>$ 0.00 CAD<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_225' id='input_31_225' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><\/li><li id=\"field_31_63\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Please make payment via INTERAC e-Transfer to: \nniagara@littlemedicalschool.com      \n<\/li><li id=\"field_31_64\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  > \nInput your e-transfer confirmation number in the  box below.\nClick submit to finalize the registration.\n<\/li><li id=\"field_31_93\" class=\"gfield gfield--type-paypal gfield--input-type-paypal gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gform_ppcp_custom_card_fields\"  data-field-class=\"gform_ppcp_custom_card_fields\" ><label class='gfield_label gfield_label_before_complex gform-field-label' for='input_31_93_1' >Payment Method<\/label><div class='ginput_container ginput_container_select gform_ppcp_payment_method' style=\"display:none;\"><select name='input_93.6' id='input_93_6' class='medium gfield_select' ><option value='PayPal Checkout' selected='selected'>PayPal Checkout<\/option><\/select><\/div><div class='ginput_complex ginput_container ginput_container_custom_card_fields gform-grid-row' id='input_31_93' style=\"display:none;\"><span class='ginput_full gform-grid-col' id='input_31_93_1_container' >\n                                    <div class='gform_card_icon_container gform_card_icon_style1'><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_31_93_supported_creditcards'>Supported Credit Cards: MasterCard, Visa<\/span><\/div>\n                                    <span id='input_31_93_1' class='ginput_card_field ginput_card_number gform-theme-field-control'><\/span>\n                                    <label for='input_31_93_1' id='input_31_93_1_label'  class='gform-field-label gform-field-label--type-sub'>Card Number<\/label>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_31_93_2_container'>\n                                            <span class='ginput_cardinfo_left gform-grid-col' id='input_31_93_2_cardinfo_left'>\n                                                <span id='input_31_93_2' class='ginput_card_field ginput_card_expiration gform-theme-field-control'><\/span>\n                                                <label for='input_31_93_2'  class='gform-field-label gform-field-label--type-sub'>Expiration Date<\/label>\n                                            <\/span><span class='ginput_cardinfo_right gform-grid-col' id='input_31_93_2_cardinfo_right'>\n                                                <span id='input_31_93_3' class='ginput_card_field ginput_card_security_code gform-theme-field-control'><\/span>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                                <label for='input_31_93_3'  class='gform-field-label gform-field-label--type-sub'>Security Code<\/label>\n                                             <\/span>\n                                        <\/span><span class='ginput_full gform-grid-col' id='input_31_93_5_container'>\n                                            <input type='text' name='input_93.5' id='input_31_93_5' value=''  \/>\n                                            <label for='input_31_93_5' id='input_31_93_5_label'  class='gform-field-label gform-field-label--type-sub'>Cardholder Name<\/label>\n                                        <\/span> <\/div><\/li><li id=\"field_31_65\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_65'>e-Transfer Confirmation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_31_65' type='text' value='' class='small'  aria-describedby=\"gfield_description_31_65\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_31_65'>\nPlease note: Your registration is complete only upon receipt of payment.\n\nClass Cancellation Disclaimer: \n\nPlease note that all classes are subject to a minimum enrollment requirement. If we do not receive enough student registrations or there is a venue cancellation, the class will not be held. We will notify you in advance and may give you an alternate option, if not we will provide full refunds if a class is canceled due to insufficient enrollment or lack of venue. There will not be refunds for parent\/guardian cancellation with less than 3 days notice, a credit will be offered.  Thank you for your understanding.<\/div><\/li><li id=\"field_31_94\" class=\"gfield gfield--type-creditcard gfield--input-type-creditcard gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_31_94_1'>Credit Card<\/label><div class='ginput_complex ginput_container ginput_container_creditcard gform-grid-row' id='input_31_94'><span class='ginput_full gform-grid-col' id='input_31_94_1_container' >\n                                    <div class='gform_card_icon_container'><div class='gform_card_icon gform_card_icon_amex' >American Express<\/div><div class='gform_card_icon gform_card_icon_discover' >Discover<\/div><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_31_94_supported_creditcards'>Supported Credit Cards: American Express, Discover, MasterCard, Visa<\/span><\/div>\n                                    <input type='text' name='input_94.1' id='input_31_94_1' value=''   onchange='gformMatchCard(\"input_31_94_1\");' onkeyup='gformMatchCard(\"input_31_94_1\");' autocomplete='off' pattern='[0-9]*' title='Only digits are allowed'  aria-required='false'  \/>\n                                    <label for='input_31_94_1' id='input_31_94_1_label' class='gform-field-label gform-field-label--type-sub '>Card Number<\/label>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_31_94_2_container'>\n                                            <span class='ginput_cardinfo_left' id='input_31_94_2_cardinfo_left'>\n                                                <span class='ginput_card_expiration_container ginput_card_field'>\n                                                    \n                                                       <select name='input_94.2[]' id='input_31_94_2_month'   class='ginput_card_expiration ginput_card_expiration_month' aria-required='false'  >\n                                                           <option value=''>Month<\/option><option value='1' >01<\/option><option value='2' >02<\/option><option value='3' >03<\/option><option value='4' >04<\/option><option value='5' >05<\/option><option value='6' >06<\/option><option value='7' >07<\/option><option value='8' >08<\/option><option value='9' >09<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option>\n                                                       <\/select>\n                                                       \n                                                   \n                                                   \n                                                       <select name='input_94.2[]' id='input_31_94_2_year'   class='ginput_card_expiration ginput_card_expiration_year' aria-required='false'  >\n                                                           <option value=''>Year<\/option><option value='2026' >2026<\/option><option value='2027' >2027<\/option><option value='2028' >2028<\/option><option value='2029' >2029<\/option><option value='2030' >2030<\/option><option value='2031' >2031<\/option><option value='2032' >2032<\/option><option value='2033' >2033<\/option><option value='2034' >2034<\/option><option value='2035' >2035<\/option><option value='2036' >2036<\/option><option value='2037' >2037<\/option><option value='2038' >2038<\/option><option value='2039' >2039<\/option><option value='2040' >2040<\/option><option value='2041' >2041<\/option><option value='2042' >2042<\/option><option value='2043' >2043<\/option><option value='2044' >2044<\/option><option value='2045' >2045<\/option>\n                                                       <\/select>\n                                                       \n                                                       \n                                                <\/span>\n                                                 <label for='input_31_94_2_month' class='gform-field-label gform-field-label--type-sub '>Expiration Date<\/label>\n                                            <\/span><span class='ginput_cardinfo_right gform-grid-col' id='input_31_94_2_cardinfo_right'>\n                                                <input type='text' name='input_94.3' id='input_31_94_3'   class='ginput_card_security_code' value='' autocomplete='off' pattern='[0-9]*' title='Only digits are allowed'  aria-required='false'  \/>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                                <label for='input_31_94_3' class='gform-field-label gform-field-label--type-sub '>Security Code<\/label>\n                             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Program Cancellation Disclaimer: Please note that all programs are subject to a minimum enrollment requirement. If we do not receive enough student registrations or there is a venue cancellation, the class will not be held. We will notify you in advance and may give you an alternate option, if not we will provide full refunds if a class is canceled due to insufficient enrollment or lack of venue. Refunds policy for parent\/guardian cancellation can be found on our website. 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