Test form

STUDENT INFORMATION (for new students only)

Full-Name: *

First

Middle

Last

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Gender: *

M
F

Date of Birth: (mmddyyyy) *

Student is ESL (English as a Second Language)? *

Yes
No

Indigenous: *

Yes
No

Age: (on or before Dec. 31, 2023) *

Student is a Canadian Citizen? *

Yes
No

Address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Upload valid passport: *

Click or drag a file to this area to upload.

PROGRAM INFORMATION (All fees are monthly)

Grade Level: (Nursery)

PreK-Nursery AM (9-12pm $400 monthly)
PreK-Nursery PM (12-3pm $400 monthly)
PreK-Nursery Full Day (9-3pm $750 monthly)

Grade Level: (PreK)

PreK AM (9-12pm $400 monthly)
PreK PM (12-3pm $400 monthly)
PreK Full-Day (9-3pm $750 monthly)

Grade Level: (Kindergarten)

Kindergarten Full-Day (9-3pm $700 monthly)

Grade Level: (Grade 1-5)

Grade 1 (9-3:45pm $675 monthly)
Grade 2 (9-3:45pm $675 monthly)
Grade 3 (9-3:45pm $675 monthly)
Grade 4 (9-3:45pm $675 monthly)
Grade 5 (9-3:45pm $675 monthly)
Grade 6 (9-3:45pm $675 monthly)

Please upload report card: (from previous grade level) *

Click or drag a file to this area to upload.

Do you need Pre-Post Care? *

Daily Pre-Post Care: (during school days)

AM 8-9am ($80 monthly)
PM 3-5pm ($160 monthly)
AM & PM ($240 monthly)

PARENT/GUARDIAN INFORMATION

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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) *

First

Last

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Email: *

Phone: *

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

If yes, please explain: (routine medication)

Immunization up-to-date? *

Yes
No

If no, please explain: (immunization) *

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

Yes
No

If yes, please explain and include any intervention/support done in the past:

TERMS AND CONDITIONS (Please read and understand carefully)

I understand that monthly school fees will be debited from my account every 1st of the month for the entire school year, from October 2023 to June 2024 and will abide to this year’s contract. For unforeseen events that my child is required to be transferred to another school I agree to give a month’s notice by the 1st of the month in writing. It will be the school’s decision to honor my request on a case to case basis. Notice given after the 1st of the month will result in full fees for the next calendar month.
It is my responsibility to inform the school for any changes to our address, phone numbers (home & work) emergency contacts, or anything that maybe important concerning the well-being of my child (i.e. illness/death in the family, divorce or separation etc.)
It is my responsibility to inform the school daily (school app) if my child is sick until the child returns to school and to keep my child at home if showing symptoms of COVID, vomiting, has a fever or diarrhea, or has an excessive cough, or anything contagious like “pink eye”.
It is my responsibility to inform the school if my child is expected to be away for longer than 3 days at any time other than during winter or spring breaks. NO refunds for absences or extended leaves (i.e. vacations).
I give permission for the staff at Calgary International Academy to treat my child for minor injuries (i.e. first aid) and to call for appropriate medical support (ambulance, poison control, etc.) in case of serious injuries that requires immediate care and hospitalization.
A charge of $50CAD for NSF payments per transaction and payments in default may result in cancellation of services.
I authorize the school to use my child’s pictures, videos or any form of media for promotional purposes.

I agree to the terms of this contract, including the Fees Policy for school year 2023-24 and Parent’s Handbook/Policies and Procedures. *

Yes
No

Upload voided cheque or PAD: (Monthly fees Oct-June) *

Click or drag a file to this area to upload.

Non-refundable registration fee: *

New student $100

Total: (the first month and registration fees are due upon registration)

$ 0.00

If your child is NOT accepted, a FULL REFUND will be sent by Interac e-transfer. The school will communicate by text messaging or email.

Notes:

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