STUDENT ENROLMENT CONTRACTStudent Enrollment Contract • November 1st, 2022
STUDENT INFORMATION Last Name(s): First and Middle Name(s): Usual First Name / Nickname: (if applicable) Gender: Male Female X Nationality: Citizenship: Date of Birth (dd/mm/yyyy): Student Email Address: Student Phone Number: Parent 1 Phone Number: Parent 2 Phone Number: HOME COUNTRY MAILING ADDRESSStreet Address: City: Province: Country: Postal Code: Agency name: (if applicable) Visa Type: Student Visa Visitor Visa/ETA Other GUARDIAN INFORMATION FIRST LEGAL INFORMATIONFull Name: Date of Birth (dd/mm/yyyy): Phone Number: Address: Same as the student OR SECOND LEGAL INFORMATIONFull Name: Date of Birth (dd/mm/yyyy): Phone Number: Address: Same as the student OR PROGRAM INFORMATION Which package are you registering for: Junior Camp (9-12 years old) Teen Camp (13-17 years old) Package #1 - Homestay (Must fill out Homestay Information on Page 3 and Homestay Declaration on Page 5. ) *Minimum 2 week registrationPackage #1 includes: Registration Fee - $175 (Non-refundable), Teen Summer Progr