Fill up online or Download Application Form
Please submit copies of these documents upon arrival
Emergency Contact Person
Arrival / Departure Information
If Yes, please specify:
(Eurocentres Canada cannot guarantee any of these requests. We will try our best to accommodate your requests.)
English level will be assessed after your arrival. You may apply for extra English Course in addition to Holiday and CareerPrograms.
General English Courses (Applicants must be 16 years old or older)
Pathway, University and Career Programs
Holiday & Youth Programs
I hereby register for this program declaring, to the best of my knowledge, that all information on this application form is correct. I will notifythe school immediately in the event of any changes to any of this information. I have read and agree to abide by the school’s DisputeResolution, Dismissal and Refund Policies which apply to my program(s) in addition to the Homestay regulations (available upon request) andall other school Accommodation regulations. I also understand that in the event I am registering through a representative or an educationalagency, they may receive compensation from the school. I understand that Eurocentres Canada assumes no responsibility for anyrepresentations, warranties, or agreements made on its behalf which are not solely contained in printed material produced by EurocentresCanada. I understand that Eurocentres Canada collects, retains, and uses personal information in accordance to the Personal InformationProtection and Electronic Documents Act (PIPEDA) and the Eurocentres Canada Personal Information and Privacy Code. I am agreeing to thecollection, retention, and use of my personal information by Eurocentres Canada.
(By checking No, Eurocentres Canada will not be able to request Visa information on the students behalf.)
This section must be completed by the parent or legal guardian of any student under 18 years of age. The participant agrees to participatein the entire program and will follow safety instructions and all Eurocentres Canada and Eurocentres Canada Host Family Rules and Regulations.The participant or legal guardian thereof also authorizes Eurocentres Canada and/or Canada Language Camps and/or the Host Family to attainmedical treatment for the participant in the event it is required and agrees to the decisions and instructions given. It is understood that schoolstaff and the Host Family are not responsible for any medical instructions, decisions and expenses.
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