Brason Academy Enrolment Form

Brason Academy Enrolment Form
Child's name

First NameLast Name
Child's sex

FemaleMale
Child's date of birth

MonthDayYear
Child's Health card number
Child's address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home phone number

Area CodePhone Number
Child's starting date

MonthDayYear
Child's age at the time of registration?
Program

CasaToddler

Family doctor's work address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Family doctor's phone number
Family doctor's fax number
Are there any existing any medical conditions that your child has (including allergies) that we should be aware of? Please describe

Mother's Name

First NameLast Name
Mother's home address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's home phone number

Area CodePhone Number
Mother's occupation
Mother's work address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's work cell number

Area CodePhone Number
Mother's business phone number

Area CodePhone Number
Mother's email
May we use this as an emergency contact?

YesNo

Father's Name

First NameLast Name
Father's home address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father's home phone number

Area CodePhone Number
Father's occupation
Father's work address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father's work cell number

Area CodePhone Number
Father's business phone number

Area CodePhone Number
Father's email
May we use this as an emergency contact?

YesNo

Please fill out the information below for another emergency contact if there are not yet two already
Other emergency contact address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Other emergency contact home phone

Area CodePhone Number
Other emergency contact cell phone

Area CodePhone Number
Other emergency contact occupation
Other emergency contact work phone

Area CodePhone Number

Please fill out the information below if you would like to give someone (other than the parents) permission to pick up your child from school.
Pick up's 1 Name

First NameLast Name
Pick up's 1 address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pick up's 1 phone number

Area CodePhone Number
Pick up 1's relationship to child

Pick up 2's name

First NameLast Name
Pick up 2's address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pick up 2's phone number

Area CodePhone Number
Pick up 2's relationship to child

Do you give permission for your child to be photographed for use on the website, brochure, display boards and other promotional products ONLY?

YesNo
-All payments due (post-dated cheques) at the time of Registration.
-A $200.00 Non-Refundable deposit is applicable for all applications.
-Please note this registration is a commitment for the entire academic year.
-A $500.00 Withdrawal fee will be charged in addition for withdrawal prior to end of school year.
-All subsidy placement parents/legal guardians are responsible for any fees not covered by the Regional Child Care Office. They must also fill out the letter of confirmation.
-Failure to submit all required documentation will result in all of the tuition fees falling upon the parent.
-Please note all cheques returned for non-sufficient funds will incur a $45.00 bank charge and replacement monies must be either cash or certified cheques.

Enrolment Agreement

The school reserves the right to determine the suitability of the child in the programs offered. Admissions are only accepted for the entire academic year.

Application procedure

I/we will provide a complete set of application for the enrolment of the child to the school along with the registration deposit and the post dated cheques towards tuition for the entire academic year.

Acceptance for enrolment

This document is considered only as an Application for Registration unless and until the above student has been accepted and such acceptance is confirmed by receipt of your deposit. The acceptance shall be reserved to the absolute discretion of the school.

Probation Period

Brason Academy has a two-week probationary period in which observations of the child are made to determine suitability to the program. The child’s teacher will advise the parent of the child’s inability to function in the program. The school reserves the right to end the enrolment.

I/we understand that if the school finds that our child is repeatedly and consciously rejecting the guidelines set out by the school, (parents will be notified and the strategies will be developed to encourage a positive solution), should this fail, the school reserves the right to accept or reject candidates, or withdraw services at their sole discretion for the reason which the school deemed necessary for the best interest and welfare of the school. Any damages to school material or property will be the responsibility of the parents to replace or repair.

We also agree that upon withdrawal, and including the period, which families are enrolled at the Academy, we will not engage in any behaviour or engage in any dialogue, which constitutes either slander or defamation of character towards the Academy, its staff, or families registered here.

We agree that while registered at the Academy, we will not solicit the Academy staff for personal childcare needs while staff are employed by the Academy (this includes school closures).

Fees and Possible Refund

I/we agree to pay all tuition fees, deposit dues, account and other indebtedness incurred during the school year, and my/our obligation to pay the full year tuition fee is unconditional, regardless of absence, transfer, withdrawal, school closures, PD days, Christmas, Easter, Spring break, statutory closures or emergency and that no portion of such fees so paid will be refunded or cancelled.All payments due (post-dated cheques) at the time of Registration.

A $200.00 Non-Refundable deposit is applicable for all applications.
This registration is a commitment for the entire academic year.
A $500.00 Withdrawal fee will be charged in addition for withdrawal prior to end of school year.
Unpaid account will accumulate and interest at 1% per day late (18% per annum) or part thereof from billing date to date of payment, the school has the right not to release or transfer any academic records of a student whose account is not settled.

Please note all cheques returned for non-sufficient funds will incur a $45.00 bank charge and replacement monies must be either cash or certified cheques.

A charge of $1 per minute will be applied for late pick ups from extended care.

The school reserves the right but is not obliged to refund the tuition fee should the administrator decide that it is inadvisable for the child to continue in the program.

Release Indemnity

We realize that children, even under close supervision by the school staff, tend to incur injuries. Therefore, we hereby release Indemnify and will not hold Brason Academy Montessori School, its agents, and/or employees harmless from any all claims, damages, or other liabilities for injuries to my child however caused.

In the event that we cannot be reached at the time of illness or injury or if the situation does not allow any time for us to be reached, Brason Academy Montessori School is hereby authorized to take the child to the nearest facility and to proceed with medical treatment.
I/we have completed all the forms correctly and to the best of our knowledge and that all information provided is up to date and in future if any information changes, it is my/our responsibility to inform the school (in writing) as soon as possible.
I/we will abide by, comply with, and obey any and all rules and regulations, guidelines of Brason Academy Montessori School as may be in force and as those additionally included in the Parent’s Handbook. By signing this agreement, we acknowledge that we have read it, understood it, and are in agreement with all its provisions.
We, the undersigned, do hereby declare that all statements made by us on the Application, Schedule of fees and Enrolment agreement form are correct and we acknowledge and agree to all the terms and conditions herein

Mother's name

First NameLast Name
Mother's signature

Clear
Date

MonthDayYear
Father's name

First NameLast Name
Father's signature

Clear
Date

MonthDayYear
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