CICS

Program Registration

Location:

Login:

Or just fill in the form below:

Personal Information

*First Name

*Last Name

*Age

*Gender

* Date of Birth (YYYY-MM-DD):

Please fill in at least one of the two phone number input boxes

*Phone:

*Mobile:

*Email

*Address

*Postal Code

*City

*Province

Immigration Status and Information

Immigration Status

Country of Origin:

Any conditions (medical/physical/other concerns) that we should be aware of

By signing this authorization you are agreeing to the following statements ( Please note that CICS stands for Centre for Immigrant and Community Services) * Participants should take care of their own safety. The agency is not liable for any personal loss or damage.

I hereby give CICS the right to obtain media recording including but not limited to photographs and videos of myself for promotional and any other uses by CICS through its media outlets.

I hereby give permissions to CICS to deliver agency information to my email address.

* For refund conditions, please make reference to our agency’s refund policy.

* Security Number:

Type the numbers you see in the block

Program Registration

Filter Programs

Latest News

Senior Free Lunch Program

Login:

Or just fill in the form below:

Personal Information

Immigration Status and Information

Parent/Guardians Authorization