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
Burnaby - Kingsway
4021 Kingsway
Burnaby, BC
V5H 1Y9
604 568 8808
Secure Payment
Application Fee $100.00