Student Registration Form

Student Registration Information

Student's FIRST Name:

Student's LAST Name:

Student's CHINESE Name:

Student's Date of Birth

Gender:

Male Female

Street Address

City

Province

Postal Code

Phone

Current School

Current Grade

Language Level

Class(es) Registering For

Referred By

Preference of Chinese Writing System

Traditional Simplified

Photo Release

I, the undersigned, give permission to the Morning Tree Language Centre, and/or parties designated by the Morning Tree Language Centre to photograph/video my child and use such photograph(s)/video(s) in all forms of media, for any and all promotional purposes including advertising, display, audiovisual, exhibition or editorial use.

Yes No

Parent/Guardian Contact Information

Parent/Guardian #1

First Name

Last Name

Relationship to Student

Home Phone

Cell Phone

Work Phone

Parent/Guardian #2

First Name

Last Name

Relationship to Student

Home Phone

Cell Phone

Work Phone

Emergency Contact Information

Emergency Contact Name

Relationship to Student

Home Phone

Cell Phone

Work Phone

Additional information

Number of Classes

Paid By

Cash Cheque E-transfer

**Registration Fee: $25** Subject to 5% GST

Notes

I hereby declare that I have read and understood the information contained on this form and the information have provided is correct.

(Parent/Guardian Initials)

Thank you for your registration. A copy of your registration has been sent to you for your records. We will be in touch with you shortly.

An error occured.

Absentee Formula