Course Registration Form

Fall 2025 - Christopher Leadership Course Registration

For Durham-Toronto students
Name*

First NameLast Name
Email*
example@example.com
Preferred Phone Number*
This is the number where you prefer to be contacted
Preferred Phone Type*

MobileLandline
Alternate Phone Number
This is an alternate number where we can reach you
Alternate Phone Type

MobileLandline
Preferred contact method (select all that apply)

E-mailPhone callText messageWhatsApp
We primarily communicate by e-mail and phone, but may reach out by text or WhatsApp to confirm registration and other details.
Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
Course Name*

CLC1 Fall 2025 - MARKHAM, Mondays 7-10 pm, St. Justin Martyr Parish, September 29 to December 8 (no class Thanksgiving, October 13)CLC1 Fall 2025 - PICKERING, Tuesdays 7-10 pm, St. Mary's CSS, October 14 to December 9I'm new - notify me when other CLC1 locations are availableI completed CLC1 - notify me when new Advanced CLC locations are available
Registration Type*

Standard $275Student $250Senior $250
Payment Method (no payment required at this time)*

PayPalE-transferOther (provide details in Comments below)
Do you know someone who previously took the Christopher Leadership Course?*

Yes, I heard it was a great experience!No, I'm the first in my network of family and friends!Other
Discount Code (if applicable)
How did you hear about the course? Please be specific (name of individual, church, website, etc).*
Additional Comments
Should be Empty:

Fall 2025 - Christopher Leadership Course Registration