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
Victoria - Douglas
3233 Douglas Street
Victoria, BC
V8Z 3K8
778-265-9986
Secure Payment
Application Fee $100.00