Life & Job Skills Programs Registration
All PACT programs are free-of-charge for youth ages 13-21. Please forward any questions to Andrea Black at referrals@pactprogram.ca or 647-967-9991.
Email address *
Name of Program *
Required
Full name of youth *
Your answer
Parent or guardian name if youth is under 18
Your answer
Phone number of youth *
Your answer
Phone number of parent or guardian if youth is under 18 *
Your answer
Youth Email
Your answer
Age of youth *
Gender identity of youth
What school does the youth attend?
Your answer
Name of referral agent & agency/program OR if self-referred how did you hear about PACT? *
Your answer
Phone number of referral agent
Your answer
Any additional special instructions or important information about the young person?
Your answer
Registration Follow-Up
This information will be sent to PACT Administration Coordinator Andrea Black who can also be reached at 647-967-9991 or referrals@pactprogram.ca.

Andrea will follow-up directly with the youth or parent/guardian contact to confirm registration, answer any questions and provide additional information.

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