Course Registration Form

Winter 2026 - 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 contactedFormat: (000) 000-0000.
Preferred Phone Type*

MobileLandline
Alternate Phone Number
This is an alternate number where we can reach youFormat: (000) 000-0000.
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 Winter 2026 - SCARBOROUGH, Tuesdays 7-10pm, St. John Paul II Secondary School, February 17 to April 14CLC2 Advanced Winter 2026 - MARKHAM, Mondays 7-10pm, St. Justin Martyr Parish, March 2 to May 4I'm new - notify me when other CLC1 locations are available.I have completed CLC1 - notify me when other CLC2 Advanced 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:

Winter 2026 - Christopher Leadership Course Registration