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
Langley - Willowbrook
20510 Langley Bypass
Langley, BC
V3A 6K8
604 533 2287
Secure Payment
Application Fee $100.00