Registration

Contact information

Parent's Information

(This section is only for students under age 18)

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Course Information

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Additional Requests...

Have you taken any English courses before?

If yes, please specify.

How did you hear about us?

Declaration

To the best of my knowledge, the information I have given in support of my application is correct.

By clicking the checkbox I understand and agree to the following:

  • I certify that I, the person signing this form, am at least 18 years old and of lawful age. 

  • I understand that any abusive or inappropriate language or use of the program will result in the termination of my child's account.

  • The use of this program by minors (under 18 years of age) outside of class time must be under adult supervision.

I am aware of and affirm by clicking this checkbox that typing my name below constitutes as an electronic signature of this form.

514 Fort Street

Victoria, BC  Canada

+1 250-533-9487

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