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PTCR

Conestoga
 
 
Course Registration Form

Please Print (Please register as you would like your name printed on a certificate).

Have you previously attended Conestoga College?       Student Number(if known)
Surname * First Name * Middle Initial Previous Name
Apt./Unit# Address City and Province Postal Code *
Home Phone * Business Phone E-mail Address * Date of Birth *
Select a date from the calendar.
Are you under the age of 19? If yes, have you successfully completed grade 12?
Canadian Citizen Permanent Resident/Landed Immigrant International Citizen Visitor/Other Visa

I hereby certify that all statements are correct and complete, including my declaration of citizenship and status in Canada. I understand that I may have to provide documentation at some future date to substantiate my claim and that any misrepresentation of this data may result in the cancellation of my admission or registration status.

Date
Select a date from the calendar.

Your name will not automatically be added to a wait list for your Course Selection if you are registered in your Alternate Course Selection. A separate cheque or money order is required for each Course Selection when registering by mail or drop box.

 
 
Course Selection #1 Check box if you wish to audit the applicable course
Sec Number * Course Code/Number *
Course Name
Course Location * Course Fee
Day(s) Start Date Time
Select a date from the calendar.  
 
 
Alternate Course Selection #1 (if Selection #1 is unavailable) Check box if you wish to audit the applicable course
Sec Number * Course Code/Number *
Course Name
Course Location * Course Fee
Day(s) Start Date Time
Select a date from the calendar.  
 
 
Course Selection #2 Check box if you wish to audit the applicable course
Sec Number * Course Code/Number *
Course Name
Course Location * Course Fee
Day(s) Start Date Time
Select a date from the calendar.  
 
 
Alternate Course Selection #2 (if Selection #2 is unavailable) Check box if you wish to audit the applicable course
Sec Number * Course Code/Number *
Course Name
Course Location * Course Fee
Day(s) Start Date Time
Select a date from the calendar.