Summer Camp Registration Form 2021
This registration is for Summer Camp 2021.

[A] Payment structure:
(1) Fee is non-refundable.
(2) Fees are not prorated.
(3) No registration fee from third sibling onwards.
(4) Payments can be made in cash or e-transfer.

[B] Fee Amounts:
(1) $200 per child
(2) $25 non-refundable one-time registration fee.

For e-transfers, please use the email
Please use password š™©š™–š™”š™šš™šš™¢. (Case sensitive)
š—”š—¼š˜š—²: š—˜-š˜š—暝—®š—»š˜€š—³š—²š—æ š—¶š˜€ š—³š—¼š—æ š—–š—®š—»š—®š—±š—¶š—®š—» š—暝—²š˜€š—¶š—±š—²š—»š˜š˜€ š—¼š—»š—¹š˜†.

For PayPal, please use the email
š—”š—¼š˜š—²: š—£š—®š˜†š—£š—®š—¹ š—¶š˜€ š—³š—¼š—æ š—œš—»š˜š—²š—暝—»š—®š˜š—¶š—¼š—»š—®š—¹ š—暝—²š—“š—¶š˜€š˜š—暝—®š˜š—¶š—¼š—» š—¼š—»š—¹š˜†.

Please note as this is a Virtual Summer Camp and we apologize in advance for any short comings.
Email *
Student Information
Name *
Gender *
Birth Date *
Grade *
Home Address *
City *
Province *
Postal Code *
Phone Number *
Email Address *
Any medical concerns? If yes, please give detail. *
Family Information
Father's Name *
Father's Phone Number *
Mother's Name *
Mother's Phone Number *
How did you hear about us? *
Photography Waiver - I agree to give Ta'leem Academy permission to take pictures of my child(ren) while participating in the various programs and activities at the Ta'leem Academy to be used solely for the purpose of advertisement and promotion in the future. *
Have you submitted the registration fee yet? Registration will confirmed upon receiving the fee. Please see the information above for payment. *
A copy of your responses will be emailed to the address you provided.
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