ABA Clinic Registration

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  • Billing Information
  • $ 0.00 CAD
  • American Express
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    Supported Credit Cards: American Express, Discover, MasterCard, Visa
     
  • Consent
    If you have any questions, please contact shira@kaylaschildrencentre.org
  • I understand that any information pertaining to my child or my family will be kept confidential. I also understand that if I choose to decline permission now or to revoke my permission at any time in the future, I may do so without any impact on my child’s current or future programming or services. If I wish to revoke my permission in the future, I will submit my request in writing to KCC
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