Application Form for 2019-2020 Academic Year

We are currently accepting applications for the 2019-2020 school year. Students must be between 4 and 8 years of age as of August 19, 2019, to be eligible for enrolment.  We have a limited amount of spaces available and they will be given on a first come, first served basis.  

Upon your child's acceptance, full-time students will be required to pay a non-refundable deposit of $600 (which includes our administrative fee). Payments can be made monthly or annually.

***To enrol more than one student, you may either fill out multiple forms (one per student) or fill the form out for any 1 student and e-mail admin@rltacademy.ca with information on additional students.

***Payment plans are available upon request and at the discretion of the RLT Academy.

Applying For: *
Student's Legal Name *
Student's Legal Name
Date of Birth *
Date of Birth
Home Address *
Home Address
Family Information
Parent/Guardian 1 Name *
Parent/Guardian 1 Name
Home Address *
Home Address
Best Contact Phone Number *
Best Contact Phone Number
Other Phone Number
Other Phone Number
Emergency Contact Priority *
Parent/Guardian 2 Name
Parent/Guardian 2 Name
Home Address
Home Address
Best Contact Phone Number
Best Contact Phone Number
Other Phone Number
Other Phone Number
Emergency Contact Priority
Emergency Contact Info
Emergency Contact Name *
Emergency Contact Name
Best Contact Number *
Best Contact Number
Other Phone
Other Phone
Additional Information
Family Doctor *
Family Doctor
Phone *
Phone
Child Carries Epi Pen for Allergies *
Previous Education Assistance (if applicable)
By clicking submit you verify that the information in this form is complete and accurate. Further directions about payment and additional forms will be emailed to parent/guardian 1 upon review and acceptance of the application,
Person Submitting Form *
Person Submitting Form
How did you first hear about us? *