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Candidate Information

First Name *

Last Name *

Date of Birth

Your Email *

Your Phone Number

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Person in Charge

Relationship with the person in chargeParent / TutorCoachOther

First Name *

Last Name *

Your Email

Your Phone Number

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Additionnal Information

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Signature of the person in charge

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Sub Total

$CAD

QST

$CAD

GST

$CAD

Total

$CAD

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"One-Time Payment" will charge you the full amount once ($CAD2520)

"Monthly Payment" is a recurring monthly payment of the full amount which is $CAD2520 ($CAD210 each month)

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