Step 1 of 4 25% X/TwitterThis field is for validation purposes and should be left unchanged.The Québec Board of Black Educators Da Costa Hall Summer Institute 2025 program July 7 to August 1, 2025 RegistrationCOURSE SELECTIONWhat high school grade level are you registering courses for?Please choose your grade levelGrade 7Grade 8Grade 9Grade 10Grade 11Course SelectCourse* Math English French Science Supplemental Support Course* Math English French Science History Supplemental Support Course Select (10)Course Select (11)Course* English French History Mathematics (CST Option) Mathematics (Science Option) Mathematics Bridge (CST to SN) Science & Technology (ST Option) Science & Technology (AST Option) Supplemental Support Course* English French Mathematics (CST Option) Mathematics SN (Science Option) Math 4 Bridge (CST to SN) Supplemental Support Subtotal $ 0.00 CAD Total CONTACT INFORMATIONStudent InformationWhich Organization referred you?*Please chooseMontreal Community CaresJamaican AssociationZimbabwean AssociationOn our own (O3)Women on the riseSchoolSocial MediaOtherNone of the aboveOtherPermanent Code*Name* First Name Last Name Are you a returning student?* Yes, from the Fall session Yes, from past sessions No, I am new Address* #civic, street Apartment City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Date of Birth* MM slash DD slash YYYY Gender* M F Any health conditions or allergies we should be aware of? Please list below.Documents upload*(including Individual Education Plan (IEP), Report Card, Speech-Language Pathology Test, other relevant assessments) Drop files here or Select files Accepted file types: doc, docx, pdf, jpg, gif, png, Max. file size: 64 MB. Choose your school board*Choose your School Board-Central Québec School Board-Eastern Shores School Board-Eastern Townships School BoardEMSB-Lester B. Pearson School Board-New Frontiers School Board-Riverside School Board-Sir Wilfrid Laurier School Board-Western Québec School Board-Private School-Other-Commission Scolaire Marguerite-Bourgeoys-Commission Scolaire de Laval-Commission Scolaire des Laurentides-Commission Scolaire Marie-Victorin-Commission Scolaire de Montréal-Commission Scolaire de la Pointe-de-l'Île-Commission Scolaire de la Seigneurie-des-Mille-Îles- École privées-AutresSchoolCellular NoEmail address* CONTACT INFORMATION CONTINUEDParent Information:Parent* Father Mother Guardian Name* First Name Last Name Address same as student? Yes Address* #civic, street Apartment City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Home Phone*Cellular No.Email address* Add Another Parent/Guardian? Yes Parent* Father Mother Guardian Name* First Name Last Name Same address as above? Yes Address #civic, street / #civique, rue Apartment City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code (if different from the above one)Home Phone*Cellular No.Email address* Payment InformationProcessing Fee Price: $ 0.00 CAD Subtotal $ 0.00 CAD Total Admin Code Credit Card Cardholder Name Card Details
