Apply to CMLC - Creative Minds Learning Center

Primary Parent First and Last Name *

Secondary Parent First and Last Name

Email Address *

Phone Number *

Street Address *

City *

Province *

Postal Code *

Student #1 Information

Student #1 First and Last Name *

Student #1 Date of Birth

What grade is student enrolling in?

Select enrollment option:Full Time (Monday - Friday)Part Time (Monday - Wednesday - Friday)

Student #2 First and Last Name

Student #2 Date of Birth

What grade is student enrolling in?

Select enrollment option:Full Time (Monday - Friday)Part Time (Monday - Wednesday - Friday)

Student #3 First and Last Name

Student #3 Date of Birth

What grade is student enrolling in?

Select enrollment option:Full Time (Monday - Friday)Part Time (Monday - Wednesday - Friday)