Program Registration Form

Choose your Campus:*

1650 Elgin Mills Road East66 Cathedral High Street11685 Yonge Street

Student(s) Information

First Child*

First NameLast Name

Second Child

First NameLast Name

First Child's Birthday*

Date

Second Child's Birthday

Date

Current School*

Grade in Sept 2025 (First child)*

Grade in Sept 2025 (Second child)

Allergies*

input n/a for none

Special Medical, Physical or Emotional Needs that our teachers should be made aware of.

Parent Information

Parent Name*

PrefixFirst NameLast Name

Cell Number*

Work Number

E-mail*

example@example.com

Home Address*

Street Address

Street Address Line 2

City

Postal / Zip Code

Consent*

I agree to receive e-mails from JEI Learning Center containing information regarding JEI Learning Center’s promotions. I can withdraw my consent at any time. (Please refer to our Privacy Policy or contact us for more details.)

Emergency Contact Information (Other than parent) - if applicable

Emergency Contact Name

First NameLast Name

Phone Number

Relationship

Authorized for pick-up

YesNo

Program(s) of interest - please choose the specific program for which you wish to receive information.

JEI Subject Programs (Weekly Class)

JEI English (JK-Grade 3)JEI Reading & Writing (Grade 3-8)JEI Math (JK-Grade 8)Subject Evaluation

After School Club (JK-Grade 6)

5 days program4 days programShuttle School Pick-up required

Smart Saturday Pass 10am-12pm (JK-Grade 3) *Choose two subjects

JEI English ClassJEI Math ClassJEI Brain Safari Class

Elgin Mills & North Richmond Hill (Winter & March Break Combo Deal)

9am-3pm Winter Camp $100.00 + March Beak $425.00 + FREE MB LUNCH + FREE WORKSHOP9am-5pm Winter Camp $175.00 + March Break $500.00 + FREE MB LUNCH + FREE WORKSHOP

PA Day Camp 9am-3pm, Pizza included | Extended hours 3-5pm $15/day

Friday, Oct 24, 2025 (Monster Academy)Friday, Nov 21, 2025 (Candy Cane Lane)Friday, Jan 16, 2026 (Lunar Legends: Horse)Friday, Jan 30, 2026 (Cupid's Secret Club)Friday, Jun 5, 2026 (Flower Power)Friday, Jun 26, 2026 (Seaside Escape)Daily Rate $95.00 (9am-3pm includes pizza)

Winter Camp (3 days) The Great Olympic Games (JK-Grade 4)

Dec 29-31, 2025 9am-3pm $225.00Dec 29-31, 2025 9am-5pm $270.00Add-on 8am drop-off $35.00Daily Rate 9am-5pm $95.00

March Break Camp Starry Skies & Ocean Eyes (JK-Grade 4)

March 16-20, 2026, 9am-3pm Early Bird $425.00 + FREE WORKSHOPIncludes One JEI Workbook 9am-5pm Early Bird $500.00 + FREE WORKSHOPIncludes One JEI Workbook 8am-5pm Early Bird $550.00 + FREE WORKSHOPAdd-on Lunch Plan $85/week (5 days)

CATHEDRALTOWN March Break Camp (JK-Grade 3)

THANKSGIVING SPECIAL 50% OFF $212.50March 16-20, 2026, 9am-3pm Early Bird $325.00Includes One JEI Workbook 9am-5pm Early Bird $400.00

Summer Learning Club Drop-in Program July-August

Choose your subject(s) and your Pass option

Cathedraltown Summer Camp (Ages 4-8 only)

August 5-8 (4 days) 9am-3pmAugust 18-22 (5 days) 9am-3pmadd extended 3-5pm

Elgin Mills Summer Camp (JK-Grade 4)

August 18-22 Pixar Imagination StationAdd-on 8am drop-off $40/weekAdd-on 3-4pm PROMO $85/week (One JEI Program)Add-on 3-5pm PROMO $165/week (Two JEI Programs)Lunch Plan $85/week (4 days)

Leaders in Training Summer Camp (Grade 5-8)

Summer Camp Week#5 Aug 19-23 Anatomy DiscoverySummer Camp Add-on 8am-9am $40/weekSummer Camp Add-on 3-4pm $85/week (One JEI Program)Summer Camp Add-on 3-5pm $165/week (Two JEI Programs)Summer Camp Lunch Plan $85/week (4 days)

Comments

Terms & Conditions

Please click yes if you WILL give permission to have photographs taken of your child*

YesNo

We occasionally take pictures of the kids in action with the materials or doing other activities for our website, and various Social Media platforms. We hope to use these to keep parents up to date on the happenings at the center.

How did you find us?*

If you were referred by a friend please let us know who, so we can thank them!

Parent Signature*

Enter the message as it's shown*

IMPORTANT: This form simply accepts your registration information. It is not a confirmation of guaranteed enrollment, as spaces in our class and camp programs are limited. We will contact you within two business days to communicate if your desired session is available. If it is, we will formally confirm your registration and send you the program information packet and payment link. Thank you for your attention.