Registeration Form - Credit Courses

Please Select Your Registration
I want to register myself for (If other is selected: please mention IELTS, Computers, English classes for adults, French, TEF, PLAR testing, etc.)

Other

Register Yourself for Tuition
Student Name

First NameLast Name
Date

MonthDayYear
Date
Gender
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Select Grade
Subjects
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Tell Us About Yourself
Student Information

First NameLast Name
Student E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Date of Birth

MonthDayYear
Gender
Home Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Home School's Full Name

Street Address Line 2

CityState

Zip Code
Upload your Transcript

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Upload your Government ID

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Guardian 1 Name & Address

CityState / Province

Postal / Zip Code
Guardian 2 Name & Address

CityState / Province

Postal / Zip Code
Guardian 1 Email
example@example.com
Guardian 2 Email
example@example.com
Guardian 1 Mobile
Please enter a valid phone number.Format: (000) 000-0000.
Guardian 2 Mobile
Please enter a valid phone number.Format: (000) 000-0000.
Is English your First Language
Have you ever attended an Ontario high school?
Have you ever studied ESL courses?
How did you hear about our Learning Beam Academy?

Select Payment Mode
Total Amount In CAD
Other Payment Methods
Please make your cash, cheque or money order payable to LearningBeam office. Write your registration number on the cheque or money order. Please allow time for your payment to arrive and be processed. You will be registered upon receipt of payment.
Make your payment using Interac Email transfer to our account learningbeam@gmail.com. Please use your order ID as the Payment Reference. Your order will be completed upon receipt of payment.
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