Online Registration Form – 2020/2021

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 2020)
    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



    2020/21 September Enrichment Course Registration (eLearning only)

    Concept A - Chinese (JK to Gr 8): $650



    Concept CE - Math & English: $860
    JK to Grade 8
    Concept H - Grade 9 Math: $990
    Advance High School Math For Grade 9 - 1.5 hrs



    Payment

    NEXT STEP INSTRUCTION
    Please wait for our email reply to confirm the availability and exact pricing. You will be able to make payment online via e-Transfer (info@AcademiaConcept.com).

    Intended Payment Method?
    ChequeEmail Money TransferDebit CardCash
    General Comment

    I have read this application thoroughly and all the information provided is true and valid. I hereby release and forever discharge Academia Concept (“ACEC”) and 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. I understand all fees paid are non-refundable. For 2020/2021 eLearning Program - ACEC will review actual enrollment by August 31st, 2020 – if any of the registered course above cannot start due to lack of enrolment (at the discretion of ACEC) – We will make all attempt to try to replace the canceled course with a similar replacement. There is no make-up class and no refund for absent regardless of the reason.

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