Level 3 Registration Form (Ages 10-13)
This registration is for the Academic school year 2020-2021.
Semester 1 - September to January
Semester 2 - February to June

[A] Payment structure:
(1) Fee is to be paid Monthly for each semester.
(2) Fee is non-refundable.
(3) Fees are not prorated.
(4) If a student leaves anytime during the semester, fee is required for all remaining months of that semester.
(5) Concession applies from the second sibling.
(6) Payments can be made in cash or e-transfer.

[B] Fee Amounts:
(1) $35 per child Monthly
(2) $15 non-refundable one-time registration fee.

[C] Sibling Concession:
(1) $30 Monthly
(2) $15 non-refundable one-time registration fee.

For e-transfers, please use the email taleemweekendschool@gmail.com.
Please use password 𝙩𝙖𝙡𝙚𝙚𝙢. (Case sensitive)
Student Information
Name *
Gender *
Birth Date *
MM
/
DD
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YYYY
Grade *
School Name *
Home Address *
City *
Province *
Postal Code *
Phone Number *
Email Address *
Health Information (If student is already a student @ Taleem Academy, move to the next section. Please give copy of student immunization record to the office.)
Doctor's Name *
Doctor's Phone Number *
Health Card Number *
Any medical concerns? If yes, please give detail. *
Family Information
Father's Name *
Father's Phone Number *
Mother's Name *
Mother's Phone Number *
Any siblings enrolled in Taleem Academy classes? If yes, please add their name and level. *
Emergency Contact Name (Not living at same address) *
Emergency Contact Phone Number *
Emergency Contact Relationship *
How did you hear about us? *
Waivers
Photography - I agree to give Taleem Academy permission to take pictures of my child while participating in the various programs and activities at the Taleem Academy to be used solely for the purpose of advertisement and promotion in the future. *
I read, understand and agree that Taleem Academy shall not be held responsible for any medical costs incurred in any situation. I understand that I am financially responsible for any medical costs incurred. I read, understand and agree to pay Bi Monthly fee for Each semester with full or partial attendance. Taleem Academy reserves the right to cancel the registration if rules and policies of the school are not followed. *
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