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| German School of Canada |
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| Ok German School of Canada - P.O.Box 1464 - Vernon, BC - V1T 6N7 - Email [email protected] Page 1 REGISTRATION FORM 2009 German Classes only. ESL or GSL please contact school _______________________________________________________________________________ Family Name Home Phone Fax Number _________________________________________________________________________________________________________ Street City Zip Code _________________________________________________________________________________________________________ Email How did you learn about our school ? STUDENTS TO BE ENROLLED __________________________________________________________________________________________ First Name (Include last name if different from family name) Date of Birth (m/d/y ) Grade/Occupation German knowledge _________________________________________________________________________________________________________ First Name (Include last name if different from family name) Date of Birth( m/d/y ) Grade/Occupation German knowledge __________________________________________________________________________________________ Father's Name Occupation Work Phone ________________________________________________________________________________________________________ Mother's Name Occupation Work Phone MEDICAL AUTHORIZATION I authorize the physician listed below or any other qualified physician to treat me and/ or my child(ren) in case of an emergency while attending the OK German School of Canada. __________________________________________________________________________________________ Physician's Name Physician's Address Phone _________________________________________________________________________________________________________ Allergies, special medications, etc. NOTIFY IN CASE OF EMERGENCY __________________________________________________________________________________________ Name Relationship Phone _________________________________________________________________________________________________________ Name Relationship Phone TUITION FEES for Geman language classes. ESL and GSL contact school Please include Page 2 with your registration If you have any questions regarding your enrollment, please contact school. Private lessons please contact school Mail registration with payment, check or money order, payable to OK German School of Canada, P.O.Box 1464, Vernon, B.C. V1T 6N7 Education Grant: If tution fees create a financial hardship for parents, the school has an Education Fund established to help students to be able to contiune their German study. Please contact the school for more information. Tax deduction: You may deduct education fees if the total amount exceeds $100 in the current tax year. OK German School of Canada reserves the right to correct pricing at the time of registration. NSF Cheques: There will be a charge of 50% of the cheque amount up to a maximum of $25 per cheque. Refunds & Transfers: OK German School of Canada reserves the right to postpone, combine, limit registration or to change instructors. Should insufficient registration cause the cancellation of a course, tuition fees will be fully refunded. The above is correct to the best of my knowledge. I agree to abide by the rules and regulations of the OK German School of Canada. ______________________________________________ ___________________________________ Signature Date Open Page 2 |
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