Level 3 Registration Form (Ages 10-13)
This registration is for the Academic school year 2021-2022.

[A] Payment structure:
(1) Fee to be paid monthly or Bi-monthly or full year.
(2) Fee is non-refundable.
(3) Fees are not prorated.
(4) If a student leaves anytime during the academic year,
fee is required to be paid for all remaining months.
(5) Payments can be made in cash or e-transfer.

[B] Fee Amounts:
(1) Monthly fee (per child): $70
(2) Registration fee (non-refundable): $25
(3) Sibling Concession (applies from third sibling): $5


For e-transfers, use the email taleemacademycanada@gmail.com.
Please use password ๐™ฉ๐™–๐™ก๐™š๐™š๐™ข. (Case sensitive)
๐—ก๐—ผ๐˜๐—ฒ: ๐—˜-๐˜๐—ฟ๐—ฎ๐—ป๐˜€๐—ณ๐—ฒ๐—ฟ ๐—ถ๐˜€ ๐—ณ๐—ผ๐—ฟ ๐—–๐—ฎ๐—ป๐—ฎ๐—ฑ๐—ถ๐—ฎ๐—ป ๐˜€๐˜๐˜‚๐—ฑ๐—ฒ๐—ป๐˜๐˜€ ๐—ผ๐—ป๐—น๐˜†.

For PayPal, use the email taleemacademycanada@gmail.com.
๐—ก๐—ผ๐˜๐—ฒ: ๐—ฃ๐—ฎ๐˜†๐—ฃ๐—ฎ๐—น ๐—ถ๐˜€ ๐—ณ๐—ผ๐—ฟ ๐—œ๐—ป๐˜๐—ฒ๐—ฟ๐—ป๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐—ฎ๐—น ๐˜€๐˜๐˜‚๐—ฑ๐—ฒ๐—ป๐˜๐˜€ ๐—ผ๐—ป๐—น๐˜†.
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Email *
Student Information
Name *
Gender *
Birth Date *
MM
/
DD
/
YYYY
Grade *
School Name *
Home Address *
City *
Province *
Postal Code *
Family Information
Father's Name *
Father's Phone Number *
Father's Email Address *
Mother's Name *
Mother's Phone Number *
Mother's Email Address *
Any medical concerns? If yes, please give detail. *
Are you a returning student? *
Any siblings enrolled in Ta'leem Academy classes? If yes, please add their name and level. *
How did you hear about us? *
Are you registering your child for ๐—ฉ๐—œ๐—ฅ๐—ง๐—จ๐—”๐—Ÿ or ๐—ข๐—ก๐—ฆ๐—œ๐—ง๐—˜ classes? *
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