Kells Academy Language Course Registration
Student last name
Student first name
Date of birth
Gender
Male
Female
School Attending
Grade
Select
5
6
7
8
9
10
11
12
Parent Name
Phone Number
Cell Phone Number
Email
Address
Please check your class preference:
Postal Code
Online
In-class
Emergency Name
Emergency Phone Number
Does the child need homestay? ($1500)
Additional Conversation Classes ($300)
Airport Transfer ($200 each way)
Morning:
Course Options:
English
Beginner French
Number of weeks:
4 weeks: $1250.00 (Total 50 hours) 9:00 am - 11:30 am
3 weeks: $975.00 (Total 37.5 hours) 9:00 am - 11:30 am
2 weeks: $675.00 (Total 25 hours) 9:00 am - 11:30 am
Afternoon:
Course Options:
English
Beginner French
Number of weeks:
4 weeks: $1250.00 (Total 50 hours) 1:00 pm - 3:30 pm
3 weeks: $975.00 (Total 37.5 hours) 1:00 pm - 3:30 pm
2 weeks: $675.00 (Total 25 hours) 1:00 pm - 3:30 pm
Please attach medical insurance policy if applicable.
Payment Policy:
Payment is due in full by June 15, 2020.
Upon cancellation, before July 6, 2020, 50% of fees are refundable.
No refunds will be issued as of July 6, 2020.
I Agree to the Terms and Conditions
Total: