Notice:

You may only register one student per transaction.

Please call or email us, if you are unable to register online.

Order Summary

    All prices are in Canadian dollars.

    Learner Information

    Contact Information

    Emergency Contact

    If under 19, please enter caretaker's emergency contact information.

    Other

    Important Notice:

    Clicking on the “Proceed to Payment” button will take you to a page hosted by Moneris so that they can process your payment.

    We are committed to protecting your privacy and personal information through responsible information management practices. We collect, use, retain, disclose and dispose of personal information in accordance with the Freedom of Information and Protection of Privacy Act (FIPPA), other applicable legislation and Capilano University privacy management practices.

    This form collects personal information for the purposes of Continuing Studies registration.  It is collected by Capilano University under (s)(26)(c) of FIPPA.  By submitting this form, you are providing your consent for the Continuing Studies department to collect and use this information for this purpose. If you have any questions, please contact cs@capilanou.ca.

    We use Moneris’ secure payment gateway, to process your credit card payment Moneris is PCI certified. See more information about Moneris PCI Data Security.