2025-26 PreK – Registration Form- PM only – Calgary International Academy

IMPORTANT: To register for September 2025, payment of the non-refundable registration fee and the first month’s (September) fees is required upfront. School admissions will not review your application documents without this payment. Your voided cheque or Pre-Authorized Debit (PAD) form will be used for payments from the second month (October 2025) through June 2026.

STUDENT INFORMATION:

(for new students only)

Full-Name:

First

Middle

Last

Gender:

M
F

Date of Birth: (YYYYMMDD)

Age: (on or before Dec. 31, 2025)

Enter the primary language used at home:

Is the student an ESL (English as a Second Language) learner?

Yes
No

Is the student a Canadian citizen?

Yes
No

Upload Birth Certificate or Canadian citizenship.

Drag & Drop Files, Choose Files to Upload

Indigenous Self-declaration:

First Nations
Metis
Inuit
N/A

Address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Identify your designated school board from the link below:

https://cbe.ab.ca/schools/find-a-school/Pages/default.aspx

Enter Resident Public Board or Designated Public School (required by Alberta Education):

PROGRAM INFORMATION:

(All fees are monthly and include school supplies)

Do you need Before-After School STEAM Program?

PARENT/GUARDIAN INFORMATION:

Parent/Guardian 1:

First

Last

Phone:

Email:

Relationship to student:

Address, same with student? (Parent 1)

Yes
No

Enter Address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Parent/Guardian 2:

First

Last

Phone:

Email:

Relationship to student:

Address, same with student? (Parent 2)

Yes
No

Enter Address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Emergency Contact:

(not including one of the parents)

Full Name:

First

Last

Relationship to student:

Phone:

Email:

ADDITIONAL INFORMATION:

Any form of allergies that we need to be aware of (please list or specify):

Is your child on routine medication that must be taken while at school?

Yes
No

Do you believe your child is showing symptoms of speech, OT or other delays?

Yes
No

Immunization up-to-date?

Yes
No

Is the child involved in Custody or Guardianship agreement?

Yes
No

TERMS AND CONDITIONS

I agree to the terms of this contract, including the Fees Policy for school year 2025-26 and I have read and understood the Parent’s Handbook including Policies and Procedures.

(Please read and understand carefully)

• By providing your child’s health information, you (parents/guardians) consent to its collection, use, and disclosure strictly for school-related purposes. This information will only be accessible to authorized school personnel who have a legitimate need to know for your child’s care and safety.

• Parents/guardians acknowledge the rights granted under the Alberta Health Information Act, including the right to access their own health information, request corrections to inaccuracies, or add relevant information when necessary.

• I understand that monthly school fees will be debited from my account on the 1st of each month for the entire school year (October 2025 to June 2026) and agree to abide by this year’s contract. If unforeseen circumstances require my child to transfer to another school, I agree to provide a written one-month notice by the 1st of the month. The school will decide whether to honor this request on a case-by-case basis. Notices given after the 1st of the month will result in the full fee being charged for the next calendar month. Any outstanding fees or balances must be settled before records and documents are released.

• I acknowledge that it is my responsibility to inform the school of any changes to our address, phone numbers (home or work), emergency contacts, or other significant matters affecting my child’s well-being (e.g., illness, death in the family, divorce, separation, etc.).

• I will notify the school daily via the school app if my child is sick and will keep my child at home if they show symptoms of vomiting, fever, diarrhea, excessive coughing, or other contagious conditions such as “pink eye.”

• I will inform the school in advance if my child is expected to be absent for more than three consecutive days, except during scheduled winter or spring breaks. I understand that there will be no refunds for absences or extended leaves (e.g., vacations).

• I grant permission for Calgary International Academy staff to provide basic first aid for minor injuries and to seek appropriate medical support (e.g., ambulance, poison control) in the case of serious injuries requiring immediate care or hospitalization.

• A $50 CAD fee will be charged for each NSF (Non-Sufficient Funds) transaction. Persistent payment defaults may result in the cancellation of services.

I authorize the school to use my child’s pictures, videos or any form of media for promotional purposes.

Yes
No

Upload voided cheque or PAD: (Monthly fees for the 2nd month or Oct 2025-June 2026)

Drag & Drop Files, Choose Files to Upload

PAYMENT:

Non-refundable registration fee:

New student $100

Total: (The first month or Sept. 2025 and registration fees are due upon registration)

$0.00

School admissions will not process your child’s registration without the required payment. If your child is not accepted, a full refund will be issued via Interac e-transfer. Once your child is accepted, you will receive an invitation to the school app (BRIGHTWHEEL). If you have any questions or concerns, please feel free to message the school’s administration directly via text at (403) 991 7534.

Payment by:

Interac e-Transfer

Interac e-Transfer: After clicking “Submit,” e-transfer the total amount to accounting@ciacademy.ca

Online Security:

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Please answer security test to proceed.

Notes:

If there is anything you would like the School Admissions to know, please include it here.

Signature:

Clear Signature

Fullname:

Date: