Be World Class Course Registration Form 22-23

Student Registration Form

Fill out the form carefully for registration
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Please upload proof of age*

Copy of birth certificate or passport
Cancelof
Home Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Students Mobile Number
Format: (000) 000-0000.
Student E-mail*
example@example.com
Students OEN*
Ontario Education Number (can be found on report card)Format: 000-000-000.
Home School*
Home School Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Parent / Guardian Name*

First NameLast Name
Parents / Guardian E-mail
example@example.com
Parents / Guardian Mobile Number
Format: (000) 000-0000.
Parent / Guardian Name

First NameLast Name
Parents / Guardian E-mail
example@example.com
Parents / Guardian Mobile Number
Format: (000) 000-0000.
Course*
Who referred you to our program?
Please upload a copy of your transcript or credit counselling summary.

Cancelof
Is there any information that you believe the facilitator needs to know about you. Do you have an IEP? Anything you would like to share?
Should be Empty:

Student Registration Form