AWM Canada Active Campaign -

Charis Toronto Registration Form

Click the links to read the forms then indicate your agreement and enter the date. You will receive a copy by email.

Note: You need to use the same email address for making your online payment as you used to complete this registration form.

If you are a first year applicant, complete this registration form only if you received an email from Charis indicating that your application has been accepted.

Personal Information

Campus Location*

Registering As*

Registration Year*

Program Type*

First Name*

Last Name*

Gender*

Date of Birth*

Email*

Phone*

Address 1*

Address 2

City*

Province*

Postal Code*

Emergency Contact and Medical Information

Medical Conditions or Allergies*

Medications*

Comments*

Primary Contact Name*

Primary Contact Relationship*

Primary Contact Primary Phone*

Primary Contact Alternate Phone

Primary Contact Address*

Secondary Contact Name*

Secondary Contact Relationship*

Secondary Contact Primary Phone*

Secondary Contact Alternate Phone

Secondary Contact Address*

Release Agreement

Click to read the Charis Release Agreement

Charis: Release Agreement

Yes, I have read and agree to the Charis Release Agreement*

Media Release

Click to read the Charis Media Release

Charis: Media Release

Yes, I have read and agree to the Media Release*

Code of Conduct

Click to read the Code of Conduct.

Charis: Code of Conduct

Yes, I have read and agree to the Code of Conduct*

Date*