Application
Please complete the form below and click submit.
Parent/Guardian Information
First Name*
Last Name*
Relationship*
Address*
Email*
Phone*
Child Information
First Name*
Last Name*
Date of Birth*
Req. Start Date*
Location
CEFA Nanaimo BC
1815 Bowen Rd
Nanaimo, BC
BC V9S 1H1
250 755 6502
Secure Payment
Application Fee $100.00