CLARUS EDUCATIONAL CENTRE - ONLINE REGISTRATION
Please complete the form below. All information is deemed confidential and will not be shared with third parties.

For questions or inquiries regarding this form, please contact us at info@claruslearning.com or 778.881.4954.

Please note: Prior to submitting this online form, please ensure that you have reviewed the Clarus Service Agreement.

REGISTRATION DETAILS
Student's Name
Full name (First and Last Name)
Your answer
Semester
Location
Subject & Grade Level
Returning student
My child was previously enrolled at Clarus Educational Centre. If available, I prefer the following tutor:
Your answer
PARENT / GUARDIAN INFORMATION
Primary Parent/Guardian Contact
Full Name (First and Last Name)
Your answer
Alternate Parent/Guardian Contact
Full Name (First and Last Name)
Your answer
Main Phone
Your answer
Parent/Guardian Mobile Number
Your answer
Parent/Guardian Email
Your answer
Mailing Address
Your answer
City
Your answer
Province
Postal Code
Your answer
STUDENT DETAILS
Student's Address
Please complete this question only if the student’s main address is different from the Parent/Guardian address.
Your answer
Student's Mobile Number
Your answer
Current School
Your answer
Grade
Additional comments or requests
Your answer
How did you hear about us?
Your answer
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