Summer School 2024 Registration Form

Summer School 2024 Registration Form
Student Information
Student Name*

First NameMiddle NameLast Name
Is this your legal first name?*

YesNo
If not, what is your legal first name
Are you a Crestwood Preparatory College Student*

YesNo
Student Birth Date*

MonthDayYear
Date
Student Phone Number*
Please enter a valid phone number.
Student Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
My parent home mailing address is the same as above*

YesNo
Student Grade*
Current School*
Health Card/Medical Coverage*

OHIPOther
OHIP Card Number/Policy Number*
Please indicate any accomodations you receive at your present school:

Extra time for Tests/ExamsUse of ComputerMemory Aid
All non–CPC students will need to provide evidence of these accommodations by attaching one of the following: Copy of Educational Assessment done within the past 3 years, Copy of IEP or Letter from Current School Administration outlining accommodations currently in place at Home School.
Course Information
Courses available for registration:
- MHF4U (Advanced Functions 12) - Pre-requisite, student credit summary required
- CHV2O & GLC2O (Civics 10 & Careers 10 - 2 half credits)
Summer 2024 Dates and Hours

Monday, June 24 to Friday, July 19, 2024. Classes begin at 9:00 a.m. and finish at 4:00 p.m. A 40-minute lunch break is provided.

Note: There are no courses held on Monday, July 1st, 2024, for Canada Day.
CPC Summer School Course I would like to register for:*

MHF4UCHV2O & GLC2O
Parent/Guardian & Emergency Contact Information
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com
Parent/Guardian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact Name*

First NameLast Name
Emergency Contact Home Phone Number*
Please enter a valid phone number.
Emergency Contact Mobile Phone Number*
Please enter a valid phone number.
Emergency Contact Relationship to Student*
I would like to pay in:*

Full - $1500Two Installments - $500 now and $1000 to be charged to my SchoolAdmin account on May 24, 2024
Fees and Registration Dates:

Course Fees: $1500.00
Registration Fee: $95.00 for all non - CPC students.

All fees will be refunded if a course is not offered due to insufficient enrolment.

A student may not begin a course until all payments have been made in full.

Course Materials: Students are responsible for all required textbooks. These will be sent to the students in early June.

CODE OF CONDUCT

The Crestwood Preparatory College Code of Conduct embraces the ideas of

• personal honesty and integrity
• academic honesty
• respect for people and for property
• responsibility for one’s own behaviour

Student distribution or possession of illegal substances (drugs) or weapons or involvement in any violence, vandalism or theft will face any or all of the following:

• parental involvement;
• suspension; and/or
• expulsion; and/or
• potential police involvement.

Any behaviour that violates any of the above will be reported to the student’s home school and may be placed in the OSR.

Attendance Requirements
Summer school courses are intense learning experiences that require full participation by students. Students are expected to be in full attendance each day of the course, and any student with more than one absence may be required to withdraw from the course. No refund will be given. If you will be absent from school please have your parent/guardian contact the school at 416-391-1441.

Dress Code
Students are required to dress appropriately for an effective learning environment. Presenting a bodily appearance or wearing clothing that is disruptive, provocative, revealing, profane, vulgar, offensive or obscene, or which endangers the health and safety of the student or others is prohibited.

Terms of Enrolment
It is agreed that parents and students enrolled at Crestwood Preparatory College Summer School Program will follow all stated school policies as described or determined by the school administration.

Both parent/legal guardian and student must sign below indicating they have read and understood the terms and conditions set forth in this contract.
Signature of Parent/Guardian*

Clear
Signature of Student*

Clear
Date

YearMonthDay
Date
Total fees

My Products*

Product Name

$1,500.00CAD

Payment Method
Credit	Express

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty:

Summer School 2024 Registration Form

Student Information

Course Information

Parent/Guardian & Emergency Contact Information