Training Application Form

Training Module / Course Registration

Student Registration Form
COURSE START DATE*

MonthDayYear
Choose the start date of your desired module/course. For unknown Module dates, select today's date.
CHOOSE YOUR ON-LOCATION LEARNING DESTINATION*
Choose the course offering Location (Be sure the corresponding dates are correct)
STUDENT INFORMATION:*

First NameLast Name
E-mail*
Make sure your email address is correct. This is how we will communicate with you.
Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
Phone Number*

SELECT THE MODULES YOU WISH TO REGISTER FOR*

Please Sign Here

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Your course tuition will be 100% refunded if minimum class sizes are not met. Once your Payment is received you will be emailed details about your module and confirmation of times and dates. If you have questions, please feel free to contact one of our trainers: registration@queencitycollege.ca
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Training Module / Course Registration