1. Username:
2. Password:
3. Confirm password:
4. First name:
5. Last name:
8. Forgot password question:
9. Forgot password answer:
10. Email address:
11. Address:
12. registration_confirmed:
13. default_password:
14. City:
15. Province: select... British Columbia Manitoba Alberta Saskatchewan Yukon Nunavut Northwest Territories Ontario Quebec New Brunswick Nova Scotia Prince Edward Island Newfoundland
16. Postal Code:
17. Primary telephone #:
18. Secondary Phone #:
19. org_id:
20. Skill testing question:
    Choose the Basketball from the images below.

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Student Status

• Choose your student status *

  select... Full-time Part-time

Emergency Contact

• Name *

• Relationship *

  select... Spouse Parent Friend Other

• Address *

• City *

• Province *

  select... Alberta British Columbia Manitoba New Brunswick Newfoundland North West Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other

• Postal Code *

• Country *

• Telephone number *

Education

• High School *

• City *

• Province/State *

• Grade Completed *

• Year *

• Diploma or Certificate received *

• Post Secondary Institution

• City

• Province/State

• Number of years completed

• Degree/Diploma/Certificate

• Graduation year

Other

• How did you hear about us? If alumni recommended us, please list their name in your answer. *

• Please specify your T-shirt size *

  select... Small Medium Large Extra large 2XL