REGISTRATION FORM (Please Print)
Phone/Fax: 403-835-2650
Email:
STUDENT INFORMATION
Student’s Name: ______
Male: ____ Female: ____ Birthdate: ______
Email: ______
Address: ______
Postal Code: ______
Parents’ Names: ______
Home Phone: ______Cell Phone: ______
Student Medical Problems/Allergies (if any): ______
Specify any other language experience the student has: ______
Community Centre: ______Preferred Schedule: ______
PROGRAM INFORMATION:
We follow the Calgary Board of Education calendar for Statutory Holidays as well as winter and Spring Breaks.
Availability of all classes will be on a first-come basis and classes will depend upon a minimum number of students registered.
Classes will be held at: (please check the Community Centre of your Preference and the class you are registering to:
☐ Marda Loop Community Centre
☐ Thursday 10 to 11 am kids 3 to 5 y/o
☐ Sunnyside Community Centre
☐ Tuesday 9 to 10 am 3 to 5 y/o
☐ Tuesday 10 to 11 am Moms and Tots / 2 to 3 y/o
☐ Wednesday 4 to 5 pm kids 6 to 8 y/o
TUITION FEES (Please note that all cheques must accompany the registration.)
Children may register for a 10 weeks program the total fee for these classes will $150
30-week program the total fee for these classes will be $450.
Classes will run from October 2nd to December 16th for the 10 weeks program
Classes will run from October 2nd to June 18th 2018 for the 30weeks program
There are two options for payment:
Option 1
Five post-dated cheques in the amount of $90 each, dated the first of each month beginning October 1st 2017 and ending February 1st 2018.
All cheques are to be submitted at the time of registration.
Option 2
Three post-dated cheques in the amount of $150 each, dated October 1st, January 1st March 1st 2018.
All cheques are to be submitted at the time of registration
A $15.00 fee will be levied for any NSF cheques. NO REFUNDS WILL BE ISSUED AFTER THE FIRST CLASS.
CANCELLATION POLICY
All classes are subject to cancellation in the event of inadequate registration. In this case, full refunds will be issued.
Cheques should be made payable to Giulliana Arevalo and mailed to: #21 140 Point Drive T3B4W3 , Calgary, AB or may be delivered in person. If preferred, payment may be made by Email transfer to: .
The Jugando instructor will make every effort to create a safe and happy environment. Participation in these classes is at the participant’s own risk; Jugando will not be liable for any loss, damage, or injury in connection with such participation.
I HAVE READ THIS INFORMATION CAREFULLY AND AGREE TO ITS TERMS.
______
Parent / Legal Guardian’s Name Signature Date
#21 140 Point Drive NW T3B4W3 Calgary –AB ph: 403 – 8352650 email: ~~~ www.jugando.ca