Level 5 Registration Form (Ages 15+)

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This registration is for the Academic school year 2020-2021.

[A] Payment structure:
(1) Fee is to be paid monthly or Bi monthly fee 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 for all remaining months of that academic year.
(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 taleemacademycanada@gmail.com.
Please use password 𝙩𝙖𝙡𝙚𝙚𝙢. (Case sensitive)
𝗡𝗼𝘁𝗲: 𝗘-𝘁𝗿𝗮𝗻𝘀𝗳𝗲𝗿 𝗶𝘀 𝗳𝗼𝗿 𝗖𝗮𝗻𝗮𝗱𝗶𝗮𝗻 𝗿𝗲𝘀𝗶𝗱𝗲𝗻𝘁𝘀 𝗼𝗻𝗹𝘆.

For PayPal, please use the email taleemacademycanada@gmail.com.
𝗡𝗼𝘁𝗲: 𝗣𝗮𝘆𝗣𝗮𝗹 𝗶𝘀 𝗳𝗼𝗿 𝗜𝗻𝘁𝗲𝗿𝗻𝗮𝘁𝗶𝗼𝗻𝗮𝗹 𝗿𝗲𝗴𝗶𝘀𝘁𝗿𝗮𝘁𝗶𝗼𝗻 𝗼𝗻𝗹𝘆.

Student Information

Name *

Gender *

Male

Female

Birth Date *

YYYY

Grade *

School Name *

O.E.N. Number

Home Address *

City *

Province *

Postal Code *

Phone Number *

Parent's Email Address *

Student's 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 *

Are you a returning student? *

Yes

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 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. *

Yes

I read, understand and agree that Ta’leem 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. I read, understand and agree to pay monthly or Bi monthly fee or full year, with full or partial attendance. If my child(ren) were to discontinue attending during the academic year then I am responsible for the remaining monthly fees. Ta’leem Academy reserves the right to cancel the registration if rules and policies of the school are not observed. *

I agree

At Ta'leem Academy, we set a high standard for "Behaviour & Discipline." We strive to maintain an atmosphere of respect, courtesy and equality for all - students and teachers. Breach of behaviour and discipline policy will have serious consequences and may lead to suspension or expulsion as explained in detail in the Student Handbook. (Please refer to the Student Handbook)I agree to abide by the rules and policies to follow the "Behaviour & Discipline" at Ta'leem Academy. I agree to abide by the rules and policies to follow the "Behaviour & Discipline" at Ta'leem Academy. *

I agree

Have you submitted the registration fee yet? Please see the information above for payment. *

Yes

Submit

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