Foundation Studies ENCOUNTER Registration Form SQ

RSCC Foundation Studies ENCOUNTER Registration Form 2024-25 PP 3 pmts:
NOTE FOR EU CITIZENS OR RESIDENTS: This form is not to be used by any residents of the European Union, or by any citizens of European Union countries. EU citizens or residents wishing to enrol in the Foundation Studies Encounter program are invited to email the Rudolf Steiner College Canada (RSCC) office directly at info@rscc.ca or call us at 905-764-7570 to make enquiries. Of course the Encounter program is only feasible for people who are living in Ontario, so chances are that if you are enroling in the Encounter program, you are not an EU citizen, unless you are in Canada for an extended visit or holiday.
Name*

First NameLast Name
Date of Birth (dd/mm/yyyy)
Email*
example@example.com
Home Phone Number*

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Which is the best number to contact you at?*

Home PhoneCell Phone
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which Encounter Course Location/Time Do You Want to Register For?*

Saturday Mornings in ThornhillMonday Evenings in Guelph
Would you like to receive email news and updates from RSCC?

YesNo
SIN Social Insurance Number (for Canadians who want an Education Tax Receipt) The Canada Revenue Agency requires this information to be included on the receipt. If you don't want to put this info in the form you can provide it to us by phone or email.
How did you hear about this? Click as many as apply.

Email from RSCCFacebookInstagramGoogleWaldorf TodayRSCC.caColleagueSchool AdministrationFriend
Please describe your connection to, or acquaintance with, anthroposophy to date:
Relevant books read:
Relevant courses taken:
What is your purpose in taking this Foundation Studies Program?
Do you have any health conditions we should be aware of? (Please indicate contact information if necessary.)
Any Other Comments or Messages?
MEDIA RELEASE AGREEMENT I agree to be photographed, recorded and videoed by Rudolf Steiner College Canada (RSCC) and their affiliates, and permit RSCC to use (a) my name, image, likeness, and voice, and (b) all photographs, recordings, video recordings, audiovisual materials, writings, statements, and quotations of or by myself (collectively the "Materials") for the purpose of promotion of RSCC and their services, without further consent or payment to me. I understand that all the Materials and all recordings and media etc., will remain the property of RSCC. I understand that RSCC is under no obligation to use the materials. This document contains the entire agreement between RSCC and myself concerning the subject matter hereof.
Media Release Agreement (above)*

YES I consentNO I do not consent
Tuition Fee Payments
prevnext( X )
Tuition Fee in Three Monthly Payments($658.33CAD for each month)
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RSCC Foundation Studies ENCOUNTER Registration Form 2024-25 PP 3 pmts: