Personal Information:

First Name
Last Name
Address
City
Province
Postal Code
Telephone
Email Address

The information requested below is optional, and is used for statistical purposes only:

Religious/Denominational Affiliation:

Home Place of Worship/Liturgy:

COURSE SELECTION (please select one in each of the groups, including "None" if you do not wish to register for a particular hour or hours during a term):

Fall term, first hour:
Course A       Course B     Course C   None
Fall term, second hour:
Course D       Course E     Course F  None

Winter term, first hour:
Course G       Course H     Course I    None
Winter term, second hour :
Course J         Course K    Course L   None

The cost of registration is $75/term. A discount ($140 for both terms) is available if you register for both terms prior to or at the beginning of the fall term.
Check this box if you intend on paying for both terms at once.

If you are a full-time student at a university, college or high school, or if you are receiving assistance under ODSP, you are entitled to a reduced registration fee ($25/term instead of $75/term).
Check this box if you identify with one of these groups.

Cheques can be mailed to:
Ottawa School of Theology & Spirituality
c/o Dominican University College
96 Empress Ave
Ottawa, ON K1R 7G3

 

Note: you may want to print this form before submitting it, as a record of your registration.