After School Program Deposit

RTCC After School Program

Complete this form to submit payment for RTCC After School Program once you have been offered a spot in our ASP and it has been confirmed.

Please make your one time deposit for your income tier. This amount will secure your spot and be applied to your last month of program.

First Child's First Name(Required)

First Child's Last Name(Required)

Additional Child's First Name

Additional Child's Last Name

Additional Child's First Name

Additional Child's Last Name

Parent's First Name(Required)

Parent's Last Name(Required)

Email(Required)

Children's Programming

Program Cost

No. of Children

No. of Weeks

Enter 1 only

Total Weeks

Program Total

Processing Fees (Optional)

Price: $ 0.00 CAD

I’d like to add the processing fees so that all of my payment goes to fund RTCC programs.

Would you like to help cover the processing fees?(Required)

Yes, I'd like to cover fees to help fund RTCC programs.

No thank you.

Total Cost

Price: $ 0.00 CAD

Credit Card

Card Details

Cardholder Name

Payment Information

Street Address Address Line 2 City Province Postal Code

Phone (Home)

Phone (Mobile)

Permissions

Please send me updates and information related to RTCC activities.

I authorize RTCC to contact me by e-mail at the above address.

I do NOT wish to receive updates and information related to RTCC activities.

Note: Only authorized RTCC personnel will have access to your contact information. Personal Information is collected in accordance with the City of Toronto Act 2006, and the RTCC Privacy Policy, and will not be redistributed or shared in any manner. RTCC operates under the City of Toronto’s privacy policy in accordance with MFIPPA. See www.toronto.ca/cap/ mfippa.htm for additional details.