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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

What is your status in CanadaPermanent ResidentCanadian CitizenRefugeeOther

Signature of the person in charge

Please choose your payment optionIf you choose "Monthly Payment", the payment will be charged every month for 12 months

Sub Total

$CAD

QST

$CAD

GST

$CAD

Total

$CAD

Consent

"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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