Student Registration Form First Name Last Name Email Phone Number Country DateofBirth Gender M F X Are you currently in Canada? YES NO Address Province State City Postal Code Home Address Postal Code State City Emergency Contact Name Phone Number Agency Contact Person Agent Email Program Title Start Date Weeks of study Delivery Online In Person Combined Total Tuition Payable during Contract Term Other Fees including Materials: TOTAL PROGRAM COST How did you hear about Us Facebook Instagram Online Search Agency Website Alumni Referral Events or Workshops School or College Fair Other Social Media How did you hear about Us The program of instruction outlined in this student enrolment contract does not require approval under the Private Training Act. Students may notfile a claim against the Student Tuition Protection Fund with the Trustee in respect of this program of instruction. Photography & Media Release: I hereby give DEA Canadian College consent to use and reproduce my child’s name/image for promotional purposes related to DEA of Canada, its member clubs and /or external partners. My child’s first name (unless otherwise authorized) /image may be published or used in newspapers, promotional videos ,television commercials , program brochures, posters on World Wide Web or otherwise displayed to Canada and its agents from any and all claims, of any nature, based on any users of the above. LiabilityWaiver I, the parent/guardian of the child named above give permission for such child to participate in the programs and services of the DEA, and consent to any necessary first aid or emergency medical treatment being given or provided for the child, waive any claims against the DEA staff, employees or volunteers. In respect to any personal injury to such child or to any other person or any loss of or damage to property, arising in any way at, from or in connection with the other persons who might be entitled to assert such a claim as well as on my own behalf Tuition: Tuition is payable by cheque, or credit card. Attendance is compulsory. In case students do not attend lessons, there will be no refund of the tuition fee. In case of cancelation, just for tutoring lessons, we need to know 24 hours before the class time. Otherwise, it will be marked as an absence. DEA does not take any responsibility for accidents which occur at school. You cannever have any of DEAteachers as a tutor until twoyears of the registration inthe school, unless it’s organized by DEAmanagement. Refund Policy : No refunds are provided after registration Should you have any questions, you may contact the Private Training Institutions Branch of the Ministry of Advanced Education, Skills and Training at: Applicant Signature Date Signature of Parent or Legal Guardian Date Signature of Institution Representative: Date Send
