Tuition Registration Form
Student Information
Name *
Your answer
Gender *
Birth Date *
MM
/
DD
/
YYYY
Grade *
Your answer
Subject(s) Requested for Tuition *
Your answer
Home Address *
Your answer
City *
Your answer
Province *
Your answer
Postal Code *
Your answer
Any allergies or medical concerns? If yes, please give detail. *
Your answer
Family Information
Father's Name and Phone Number *
Your answer
Mother's Name and Phone Number *
Your answer
Parents' Email Address *
Your answer
Emergency Contact (not living at same address) *
Your answer
Emergency Contact Phone Number *
Your answer
How did you hear about us? *
Your answer
Waivers
I acknowledge that my child is entitled of tuitions of 2 subjects, Math and English. I am also entitled to inform the school 24 hours prior the absence of my child, otherwise full charge will apply for that day.In case of late teacher will tutor my child for the remaining time. In request of extra time, extra charges will apply. *
I give Taleem Weekend School permission to photograph or videotape my child/children for promotional purposes. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms