Registration form BallMatics Academy

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Uchenna Academy Registration Form

Registration form must be completed accurately and in its entirety to ensure a space is reserved for your child.

The application form will take about 10 minutes to complete.

Student Name (First, Last)

Student Date of Birth (dd/mm/yyyy)

Gender

Male

Female

Self-Identify

Current Grade

Student Email Address

Confirm Email

Student Home Address

Student Phone Number

Name of Current School or Last School Attended

Does the student have an Individual Education Plan (IEP)?

Has the student ever been tested by external agencies? (ex. Educational Assessments, Learning, Psychological, etc.)

Yes

Not Sure

Student Citizenship

Parent/Guardian Name (First, Last)

Parent/Guardian Email Address

Confirm Email

Parent/Guardian Home Address

Parent/Guardian Phone Number

Select the Program and Registration fee

Grade 6 – $55

Grade 7 – $55

Grade 8 – $55

Grade 9 – $75

Grade 10 – $75

Grade 11 – $75

Grade 12 – $75

PROOF OF THE PRE-REQUISITE COURSES/S (WHERE REQUIRED) MUST BE RECEIVED PRIOR TO COMMENCEMENT OF THE PROGRAM.

I understand and agree.

PROGRAM FEES ARE FULLY REFUNDABLE UP UNTIL 30 DAYS PRIOR TO THE PROGRAM START DATE. REGISTRATION FEES ARE NON-REFUNDABLE. NO EXCEPTIONS.

I understand and agree.

CANCELLATIONS MUST BE MADE IN WRITING TO BALLMATICS - Attention: Program Director

I understand and agree.

PROGRAM FEES MUST BE PAID IN FULL IN ORDER TO OBTAIN CREDIT FOR COURSES.

I understand and agree.

BALLMATICS

Ballmatics is a movement-based academic program that combines sports with STE(A)M curriculum. We incorporate athletic skill building with academic activities. Our athletic centre, located at Dupont and Dovercourt (Toronto) is a hub for athletic and academic development of youth aged 4 to 18.

BALLMATICS ACADEMY

950 Dupont Street
Toronto, ON M6H-1Z2
T: 416.855.5572
E: info@qsla.ca

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