Family Program Registration Form - BLI Language school in Canada

Family Program
Application form

Evening course

Family Program - Registration Form
Let's Get Started

Please, select one option:(Required)
- I am an agent registering a family
- I am a student booking my own reservation
Agency name(Required)
Address Details

Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent Information

- First name(Required)
- Last name(Required)
- Date of Birth(Required)
  Month
  Day
  Year
- Gender(Required)
- Country of residence(Required)
- Phone Number(Required)
- Email Address(Required)
- Mother tongue(Required)
- Languages Interested In(Required)
- Language Level(Required)
Parent information 2

- First name
- Last name
- Date of Birth
  Month
  Day
  Year
- Gender
- Country of residence
- Phone Number
- Mother tongue
- Email Address
- Languages Interested In
- Language Level
Participant 2

- Full name
- Age
- Date of Birth
  Month
  Day
  Year
- Relation to Parent
- Mother tongue
- Languages Interested In
- Language Level
Participant 3

- Full name
- Age
- Date of Birth
  Month
  Day
  Year
- Relation to Parent
- Mother tongue
- Languages Interested In
- Language Level
Participant 4

- Full name
- Age
- Date of Birth
  Month
  Day
  Year
- Relation to Parent
- Mother tongue
- Languages Interested In
- Language Level
Program information

Preferred Start Date(Required)
Preferred Program Duration(Required)
Accommodation Needed:(Required)
- Yes
- No
Choose Your type of accommodation(Required)
Dietary Restrictions or Special Needs(Required)
Additional Information

How did you hear about us?(Required)
Comments or Special Requests
Documents

Passport - Parent 1(Required)
Drop files here or
Max. file size: 1 GB.
Passport - Parent 2
Drop files here or
Max. file size: 1 GB.
Participant 1
Drop files here or
Max. file size: 1 GB.
Participant 2
Drop files here or
Max. file size: 1 GB.
Participant 3
Drop files here or
Max. file size: 1 GB.
Consent to Terms & Conditions

I authorize image use(Required)
- Yes
- No
I acknowledge and accept that during the time of my program at BLI or during school activities, my child may be photographed, video taped or audio taped and I hereby grant BLI unrestricted and non-expiring permission and all rights to use or license such media for any advertising or promotional purposes that BLI may deem appropriate, and I waive any right to any royalties related to the use of the same.
Complete booking

Agency name(Required)
Consent(Required)
I acknowledge having read the cancellation and postponement policy and student expulsion policy(Required)
Postponement

Students who wish to postpone the start of a course must notify BLI beforehand. A new letter of acceptance will then be issued for a later date free of charge.

Cancellations

All notices of cancellation must be given in writing by mail, fax, or e-mail stating that you intend to withdraw from the program you have registered for. The registration and the accommodation placement fees are non refundable.If a student is obliged to cancel his/her program due to visa refusal, all money already paid minus the registration and accommodation fee, will be reimbursed.
Note that BLI needs receive the Canadian original letter of refusal.Students must fall within the following guidelines to be eligible for reimbursement:

Before program start date
a) Less than 10 days after submitting your registration · 100% of the tuition fee.
b) 31 days or more before the program starts 70% of the tuition fee.
c) If the student cancels less than 30 days before the program start date: 60% of the tuition fee.

After program start date
a) Between 1-10% of the program · 50% of the tuition fee.
b) Between 11 – 24% of the program · 30% of the tuition fee.
c) 25% or more of the program · 0% of the tuition fee.

Students can upgrade but not downgrade their program. e.g. If the student wants to reduce the lessons per week, he/she will have to cancel the program and reapply for the new desired schedule and cancellation policy will apply.If a student comes to Canada with a BLI study permit, he forfeits the right to all refunds.

Homestay refund

Homestay placement fee is non-refundable.
Students must give 2 weeks notice in writing to the homestay coordinator if they wish to change their homestay. A refund will be made of 100% of the unused homestay fee.Time to process refundIf he/she is eligible for a refund under the conditions above, you will be reimbursed within the 60 to 90- working day period following the receipt of written notice of cancellation.

Please note that the registration and accommodation fees are non refundable under any circumstance

Student Expulsion Policy
Please click this link for details:
https://bli.ca/student-expulsion-policy/
Name(Required)
First Last
Enter the name of the person completing the booking.
Email(Required)
Agent's Signature
Your Name
Your Name
Your Name
Name
First Last
Enter the name of the adult completing this registration
Name
First Last
Enter the name of the adult completing this registration
Notifications email
Notifications email
Signature(Required)
Your Name
Your Name
Your Name

Family Program Application form

Evening course

Let's Get Started

Address Details

Parent Information

Parent information 2

Participant 2

Participant 3

Participant 4

Program information

Additional Information

Documents

Consent to Terms & Conditions

Complete booking

Family Program
Application form