Online Registration Form – 2019/2020

Please complete the form below – please contact us if you have any question in completing this form:


Student Information

First Name
Last Name
Chinese Name (Optional)
Sex
Birthday (MM/DD/YYYY)
Day School Grade (As of Sept 2019)
Day School Name
Allergies/Medical Condition (Type in "NONE" if nothing)


Home Address

City
Postal


Primary Contact Information

Contact Name

Phone Number
Relationship

Email


Emergency Contact Information

Contact Name

Phone Number
Relationship


2019 September Enrichment Course Registration

Course 1
Course 2
Course 3


2019 Summer Camp (Weekly) - **4 years old and up**

Which week do you require? (Week of)
Jun 17Jun 24Jul 2Jul 8Jul 15Jul 22Jul 29Aug 6Aug 12Aug 19Aug 26

Meals (Hot Lunch + 2 Snacks) Required?
NoYes
Extended Hour? (Max = 7:30a to 6pm; Standard Hour = 9am to 4pm)


2019 Summer Camp (Monthly) - **1.5 yrs to 4 yrs old**

Which month do you require?
JulyAugust

Payment Method

How do you like to submit the payment?
Credit Card (@ School)ChequeEmail Money TransferCash
General Comment


Note: Once we receive your registration form and validated all information, we will Email you back the total amount outstanding.


Please note - by registering online do not guarantee placement into our program. Placement is only guaranteed once we accepted your full payment.