Please register for the program by completing the form below.



Login:

Email Address
Password

Or just fill in the form below:

Personal Information
*First Name
*Last Name
*Age
*Gender
* Date of Birth (YYYY-MM-DD):
Please fill in at least one of the two phone number input boxes
*Phone:
*Mobile:
*Email
*Address
*Postal Code
*City
*Province
If so, which ESL level?
Immigration Status and Information
Immigration Status
Country of Origin:
*Home Language:
Classes
Register FeesAnnual Course Fee
Level 1-6Level 7-9
1st subject2nd subject3rd subject1st subject2nd subject3rd subject
$270.00 $270.00 $270.00 $290.00 $290.00 $290.00
Please select the appropriate class(es) you wish to register
M = Math, E = English, F = French
Level123456789Fee
9:45 - 11am
11 - 12:15am
12:15 - 1:30pm - - -
Emergency Contact #1:
*Emergency Name
*Emergency Phone
*Emergency Relationship
Emergency Contact #2:
*Emergency Name
*Emergency Phone
*Emergency Relationship
Parent/Guardians Authorization

By registering for this program, I agree to the following:

* I am responsible for the my personal safety and my personal belongings. I will not hold CICS liable for any personal injury and/or loss or damage to my personal property through participation in the program.

I understand that pictures and videos of me may be taken during the program, and I give permission for the pictures and videos to be used by CICS for promotional purposes through its media outlets.

I would like CICS to keep me updated on future programs and services by email, and I understand I can unsubscribe at any time.

* Security Number: Type the numbers you see in the block
Would you like to create account?
Enter Password (6-20 alpha-numeric):