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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 + GST ($2,047.50) CAD
(cheque or
money order)
To complete your registration, please
forward payment to:
250 Merton Street Suite 404 Toronto, Ontario M4S 1B1
CHEQUES
MUST BE RECEIVED WITHIN 3 DAYS OF YOUR ONLINE
REGISTRATION.
For more information please phone
(416) 200-7728
I assume full
responsibility for payment. I have read and acknowledge
the PREPSKILLS INC. policy including payment,
refunds and make up lessons outlined.
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 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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