Student Registration Form. Please fill in a separate form for each student.

Full Name Of Student *

Date Of Birth *

Grade *

Mailing Student Address - Please Enter Street Name, City & Province *

Does The Student Require Extra Help Due To A Pre-Exisiting Condition? If Yes Please Explain

Full Name Parent/ Guardian 1 *

Phone Number Parent/ Guardian 1 *

Email Parent/ Guardian 1 *

Full Name Parent/ Guardian 2 *

Phone Number Parent/ Guardian 2 *

Email Parent/ Guardian 2 *

Is The Student Registering to: Please select *

Student Email *

Password *

Please select the programs you would like to register to: You will receive an Invoice with 24 hours as per the programs selected, applicable discounts will be applied.

Any other comments/details you would like us to know about OR/AND Please enter any applicable promotional vouchers:

I AGREE TO HAVE READ, UNDERSTOOD AND ADHERE TO THE ABOVE MENTIONED ONLINE SETUP AND TEACHER POLICIES.

CONFIRMATION OF CONTRACT: *

BY SELECTING THE CHECK BOX, I AGREE TO HAVE READ, UNDERSTOOD AND ADHERE TO THE ABOVE MENTIONED POLICIES, PROCEDURES AND WAIVERS OUTLINED IN THE ABOVE ATTACHED DOCUMENTS.