"Remedi-ALL" Summer Programme Registration Form

Student Registration Form

Thank you for your interest in our Summer Programme. We look forward to helping you/your child succeed over the coming semester.

Please Provide us with the information requested below so that we can secure your place on our register.
Once your registration form is complete, you will be sent a confirmation email with further details about how to proceed.

Question Title

* 1. Contact Information

Student Name *

Parent Name/Company (if applicable)

Address

Parent's Email Address

Student's Email Address

Parent's Phone Number *

School *

Question Title

* 2. I wish to register for the following course(s)/tutorial(s) at the indicated level.

	Grade/Form1	Grade/Form 2	Grade/Form 3	Grade/Form 4	Grade/Form 5	Gade 6
Primary Programme	Primary Programme Grade/Form1	Primary Programme Grade/Form 2	Primary Programme Grade/Form 3	Primary Programme Grade/Form 4	Primary Programme Grade/Form 5	Primary Programme Gade 6
Secondary Programme	Secondary Programme Grade/Form1	Secondary Programme Grade/Form 2	Secondary Programme Grade/Form 3	Secondary Programme Grade/Form 4	Secondary Programme Grade/Form 5	Secondary Programme Gade 6

Question Title

* 3. Please select the payment option which accompanies your Registration.
A Non-Refundable Registration Fee of $20 is payable upon Registration.
Full Payment must be made at our office on 2nd Floor Sprott Bros. Building on or before July 31st.

Registration Fee Only, at Registration.

Full Payment upon Registration.

Please review to make sure that your information is correct then click Done.

Your registration is almost complete.
Your Child will be fully enrolled upon payment of the agreed fees and your signed Copy of this Form.

Make Checks payable to Learning for Living.

Question Title

* 1. Contact Information

Question Title

* 2. I wish to register for the following course(s)/tutorial(s) at the indicated level.

Question Title

* 3. Please select the payment option which accompanies your Registration.A Non-Refundable Registration Fee of $20 is payable upon Registration.Full Payment must be made at our office on 2nd Floor Sprott Bros. Building on or before July 31st.

* 3. Please select the payment option which accompanies your Registration.
A Non-Refundable Registration Fee of $20 is payable upon Registration.
Full Payment must be made at our office on 2nd Floor Sprott Bros. Building on or before July 31st.