Online Registration Form - Academia Concept Educational Centre

Online Registration Form – 2025-2026 (Early Bird Available for Limited time)

Step 1 of 2

Student Information

Student Name(Required)

First Last

Chinese Name

Birthdate(Required)

Gender

Male

Female

Address(Required)

City

Postal

Day School Name

Day School Grade @ Sept 2025(Required)

Allergies / Medical Condition

Type “NONE” if no allergies and medical condition

Primary Contact Information

Name(Required)

First Last

Phone(Required)

Relationship

Email(Required)

Emergency Contact Information

Name(Required)

First Last

Phone(Required)

Relationship

COURSE REGISTRATION

In-Person Enrichment Course Registration: September 2025 to May 2026 (28 classes). Please register using student grade as of Sept 2025

Chinese – Cantonese & Mandarin

Select Grade

Advanced English

Select Grade

Comments

Terms & Condition(Required)

I understand all fees paid are non-refundable.

I understand all courses will take place in-person at 100 York Blvd, Richmond Hill, ON

I have read this application thoroughly and all the information provided is true and valid. I hereby release and forever discharge Academia Concept (“ACEC”), all employees and agents thereof from any and all liability of whatever kind or nature, arising from and by reason of any and all known and unknown, foreseen and unforeseen. I agree to permit my child’s photo/video to be taken for program uses.

For the 2025/2026 Enrichment Program – ACEC will review actual enrollment by August 31st, 2025 – if any of the registered courses above cannot start due to lack of enrollment (at the discretion of ACEC) a refund will be given.

There are no make-up classes, and there are no refunds for absence regardless of the reason.

I understand registering online does not guarantee placement into the program. Placement is only guaranteed once we accepted your full payment.

I agree to the Terms of Service

Payment Method(Required)

Cheque

e-Transfer (info@AcademiaConcept.com)

Cash (Early Bird Discount Available)

[e-transfer] – Please send payment to info@AcademiaConcept.com and make sure you put your child’s name in the notes area

Pricing Summary

Please note – we have a no refund policy as per our terms and condition above. ALL FEES PAID ARE FINAL.

Combo Discount

$ 0.00 CAD

Total

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