UT Preparatory Academy

205 Sparks Avenue, Toronto, ON M2H 2S5

Application Form

Parents/Guardian Information #1

Parents/Guardian Information #2

Emergency Contact

Agent Information

Declaration

I hereby authorize to act on my behalf in all matters concerning my application for admission to UTPA. UTPA is subject to the provisions contained within the Province of Ontario's Freedom of Information and Protection of Privacy Act. As such, UTPA has the obligation to inform you about the collection and use of your personal information. By completing this Student Information Release Form, you are authorizing UTPA to release your personal information to the person(s) you have authorized to act on your behalf concerning your application for admission to UTPA, including all international admission matters. Your signature on this form confirms your acknowledgment and understanding of this notification. UTPA assumes no responsibility or liability for the use of your personal information by those you have authorized.