Personal Information

Form must be completed by person registering for the training!
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Date
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If you have trouble registering for the course, call 905-718-0934
Personal Information
Name*

First NameMiddle NameLast Name
A middle name is required. Please do not give an initial. If you do not have a middle name, enter NA.

The names you enter must match the names on your Ontario photo ID
First Name*
Middle Name*
Last Name*
I acknowledge that I am the the person completing this registration form.*

I acknowledge that I am the person completing this registration form
Your address has to be your personal address. Do Not use a business address.
Personal Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
I acknowledge that the above is my personal address and not a business address.*

I acknowledge that the above is my personal address and not a business address.
Birth Date*

MonthDayYear
Birth Date
My primary residence is in Ontario*

YesNo
Personal E-mail Only*
Cell Phone Number*

Area CodePhone Number
How did you find us?

Web SearchCurrent MemberSocial mediaOther
Please explain
Practical Information
Reliable Vehicle*

YesNo
Driver's License*

YesNo
Cell Phone*

YesNo
I have read through the entire website and understand what is required of me*

YesNo
I have read the FAQ page*

YesNo
I believe in and am practicing the Christian faith, and I agree to CLM's Beliefs Statement and understand that I may not adhere to, or practice, any religion other than Christianity*

YesNo
I agree with the belief statements and I understand that I may only officiate a marriage ceremony between a biologically born male and a biologically born female of legal age*

YesNo
I agree to the Values Statement*

YesNo
I agree to the Marriage and Family Statement *

YesNo
I understand that I am required to complete a reading and research project before my training date*

YesNo
I understand I will be ordained as clergy of Celebrating Life Ministries*

YesNo
Are you currently Authorized with a Registration Number in the Province of Ontario?*

YesNo
Authorizing Group*
Have you ever had a Provincial Registration Number?*

YesNo
Name of Authorizing organization*
I agree to submit a police report*

Yes
Reference Information
Reference Name (person other than a relative)*
Person other than a relative
Reference Email*
example@example.com
Reference Phone Number*

Area CodePhone Number
Relationship to you (relatives not acceptable)*
Relatives not acceptable
Number of years known*
Please inform your reference that we will be sending them by email an electronic reference form that they will be required to complete by your training date.
All training is live online using Zoom.

9:00 am - 1:00 pm
Choose a Date*
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Required Date Format

YearMonthDay
Date
Reminder Date

DayMonthYear
Date
Cancellation Email
example@example.com
Post Date

DayMonthYear
Date
Fee and Payment Information
The total fee for the two-day course is $725.00

All major credit cards accepted.
Credit Card Payment Details

Please verify that you are human*
Please Note:

When you click the 'Register' button, you will be redirected to a confirmation/information page. You should bookmark this page for future reference.
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Form must be completed by person registering for the training!

Personal Information

Practical Information

Reference Information

Fee and Payment Information

Credit Card Payment Details

Credit Card