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PREPESSENTIALSTM
COURSE |
| Location (1st Choice): |
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| Session dates: |
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| Time Preference: |
We will do
our best to accommodate your request. Students are placed
according to grade level and availability. Not all centres
operate on an AM/PM basis.
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| Location (2nd Choice): |
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REQUIRED Email Address: |
(Important:
Course communication and other relevant parent/student
information will be sent to this email address. Please ensure
that you check your email regularly) |
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How did you learn about PREPSKILLS®? |
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Please Select: Specify: |
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STUDENT INFORMATION |
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Child First Name |
Child Last Name |
Gender |
Current Grade |
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| Date of Birth |
School Presently Attended: |
Age: |
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| Course Preparation for: |
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PARENT
INFORMATION |
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(Mother) First Name |
Last Name |
Home Phone Number |
Email |
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Occupation |
Business Phone Number |
Cell Phone Number |
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(Father) First Name |
Last Name |
Home Phone Number |
Email |
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Occupation |
Business Phone Number |
Cell Phone Number |
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MAILING
ADDRESS |
| Address |
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Town
/ City
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Country |
State
/ Province
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Zip
/ Postal Code
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EMERGENCY CONTACT |
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First Name |
Last Name |
Phone Number |
Alternate Number |
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Contact Relation |
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ALLERGIES OR HEALTH
CONCERNS |
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ADDITIONAL
INFORMATION |
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Comments |
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FEES
& PAYMENT INFORMATION |
FEES
PREPESSENTIALS $1,950.00 + HST ($2,203.50) CAD
FULL PAYMENT MUST BE RECEIVED AT THE TIME OF REGISTRATION.
Please make cheques or money order payable to:
PREPSKILLS INC.
250 Merton Street Suite 404 Toronto, Ontario M4S 1B1
Credit Card payments: please contact the PREPSKILLS office at (416) 200-7728 for processing.
I assume full responsibility for payment. I have read and acknowledged the PREPSKILLS INC. policy including prepayment, no refunds or make up lessons as outlined.
I agree to the terms and conditions set forth by PREPSKILLS Inc.
I recognize and accept that no reputable organization can make any guarantee as the development of skills or the results of future tests.
I hereby release PREPSKILLS INC. or staff and the location from all claims, demands, losses, actions suits or proceeding rising out of the participation of the applicant named in any facility or at any location where the program/tutoring is being held.
I hereby give permission to seek out any medical assistance my child may require while attending the program.
Your invoice will be issued to you via email upon submitting this online registration. |
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