STEAM Achievers

IMPORTANT: To register for September 2026, families are required to submit the non-refundable registration fee along with the first month’s tuition (September) at the time of application. Applications will not be reviewed by the admissions team until this payment is received. A voided cheque or completed Pre-Authorized Debit (PAD) form will be used for monthly tuition payments from October 2026 through June 2027.

STUDENT INFORMATION:

Please indicate:

Permanent Resident/Landed Immigrant
Temporary Resident (Please provide proof of residency status)

Upload Permanent Resident card.

Drag & Drop Files, Choose Files to Upload

Upload a Birth Certificate or Canadian citizenship.

Drag & Drop Files, Choose Files to Upload

Upload Immigration documents.

Drag & Drop Files, Choose Files to Upload

Address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Resident Board or Designated Public School

1. Identify your designated school board by clicking the link, then enter your home address:

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

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

Resident Board or Designated Public School

PROGRAM INFORMATION:

(All fees are monthly and include school supplies)

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:

Is your child has medical condition that we need to be aware of?

Allergies
Asthma
Diabetes
Other

Anaphylaxis Emergency Plan

A person having an anaphylactic reaction might have ANY of these signs and symptoms:

Act quickly. The first signs of a reaction can be mild, but symptoms can get worse very quickly.

Emergency Contact Information:

The undersigned patient, parent, or guardian authorizes any adult to administer epinephrine to the above-named person in the event of an anaphylactic reaction, as described above. This protocol has been recommended by the patient's physician.

Patient/Parent/Guardian Signature:

Clear Signature

Date:

Physicians Name:

First

Last

Date:

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

.

(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.

Initials:

.

.

I have read, understood, and agree to the terms of this contract, including the Fees Policy for school year 2026-27 and I have read and understood the Parent’s Handbook including Policies and Procedures.

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 2026-June 2027)

Drag & Drop Files, Choose Files to Upload

PAYMENT:

Non-refundable registration fee: (Administration costs to process your registration application)

New student $200

Total: (The first month or Sept. 2026 and registration fees are due upon registration)

$0.00

If you have any questions or concerns, please feel free to message the school’s administration directly via text at (403) 991 7534.

Initials:

.

.

I understand that 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).

Payment by:

Interac e-Transfer

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

Notes:

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

Signature:

Clear Signature

Fullname:

To proceed, please answer security question:

=

STEAM Achievers

Resident Board or Designated Public School

This person has a potentially life-threatening allergy (anaphylaxis) to:

Epinephrine Auto-Injector: