Instructor Led Training Registration Request

For any learning accommodations or other special requirements, please contact the Training Coordinator by email: scsatraining@scsaonline.ca or by phone: 306.525.0175 ext. 904.

Please Note

Required fields are marked with an asterisk (*).
Information entered should be as accurate as possible, and about the student enrolling.
This form is a request for registration, only. Students will be contacted by the SCSA to confirm registration and payment information.

1. Student Information

First Name*

Last Name*

Address*

City*

Province / State*

Postal Code*

Telephone*

Date of Birth*

Email*

I consent to receiving electronic communications from the SCSA

Confirm Email*

2. Billing Information

Billing information matches Student Information above

Company Name

Company Address

Company Postal Code

Company Email

Company Phone

PO Number (Direct billing only available for SCSA Members and Supporter Members. Non SCSA members must pre-pay)

3. Course Information

Class 1*

Class 2

Class 3

Class 4

Class 5

Class 6

I have verified that the information above is accurate and genuine.
I understand that by clicking Submit this registration request will be received by SCSA.