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Montreal Course Registration Form
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Use this form to send  a Course Registration Request. Upon receipt you will be contacted with the next scheduled time and place for your particular course interest.

 

Main Information/Information Générale
       
Prefix    

☼
First Name/Prenom    

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Last Name/Nom    

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Occupation       ☼
Health and Safety Courses    

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                                          Wellness Courses (You must select a service even if you have no interest or else the form will not work)      
 Reason for taking the course/Raison de prendre le cours (used for placement purpose) (work, school etc...)        ☼
  Is this your first time taking this course?/ Est-que c'est votre première fois prenant ce cours?(used for placement purpose)       ☼

Personal Information/Information personnelle
       
Address/Addressee    
Line/Ligne 2    
City/Ville    
Province    
Postal Code/code postale    
Email    

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# of participants/ #  participant(e)     ☼
Telephone     ☼
Preferred Language/Langue Préférer     ☼
                      Available / Disponible     ☼

☼ = required information