* First Name * Last Name Relationship * Address * City * Postal Code * Home Phone # Work # Cell # * E-Mail Address
* Name * Number Relationship
* Walk Home Yes No Picked up by
iCompute Learning Centre Inc. reserves the right to cancel workshops for reasons including, but not limited to low enrollment. Students who have had their workshop canceled by iCompute will be placed into another available workshop, or have a complete refund of their fees. 1. Our fees are for a personal reservation for a specific period and are not a day-by-day fee. We will therefore not refund fees for days missed for any reason. 2. iCompute Learning Centre Inc. reserves the right to terminate registration of any student if, in the opinion of the staff, it is in the best interest of the child or the other students. In such an event, a proportional refund will be made. 3. The parent or guardian hereby consents to the use of the student’s photograph or video image(s) for publicity purposes by iCompute Learning Centre Inc.. By typing my name in the “Signature” box below, I have read, understood and agree with the “Conditions of Enrollment” detailed above. Please enroll my child(s) as named herein at iCompute Learning Centre Inc. according to the program choices selected in the registration sections of this Application for Enrollment.
Signature Date
* First Name * Last Name * Grade -- Please Select Grade -- Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 * Gender Male Female
* School
Allergies Additional Info