Register For Classes

Form for registering or requesting more details.
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    Registering for Class

    Contact Information

    Full Name (required)

    Address*

    City*

    Province

    Postal Code

    Phone*

    Your Email*

    Emergency Contact

    Name*

    Relationship

    Phone*

    Personal Details

    Date of birth*

    Gender

    Status

    Country or Province of Origin

    First Language(s)

    Schooling

    Do you have physical challenges? If yes, please specify.

    Do you have mental challenges? If yes, please specify.

    Do you have any serious medical problem? If yes, please explain.

    Allow Email Communication from GPCLL

    I have read and agree to the cancellation policy *.

    Release of Personal Information Agreement
    We will not take your picture or share your information without asking you first.
    Your information is for:
    • Reporting to the people who give us money
    • Using pictures for advertising the Council for Lifelong Learning
    • Sharing life stories with the media (Ex. Facebook, Internet, newspaper) *.

    How did you hear about us?


    Pay with credit card online now or pay in person, cash or debit, during office hours. Payment must be made within 3 business days.


    make sure to click the cancellation agreement checkbox

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