The following fields (agreement to Terms of Service and Client Signature) are to be completed by an above-mentioned parent or legal guardian.
Please sign your name in the box below.
Warning: Until the payment is confirmed, your account may have limited access and functionality. To mitigate wait times, we recommend choosing a faster payment method.
Alternative payment methods include in-person payment with card-in-hand for Interac Debit, Visa, or Mastercard, Cash (exact change may be required), Certified Cheque or Money Order.
If payment is taken at a certified clinic or at a promotional event, all payments will be processed within 24-hours.
If payments are mailed, payments will be processed within 48-hours of receipt and delivery times are not guaranteed.
Accounts are activated within 24-hours of completed payment processing.
To mail in a certified cheque or money order, make the cheque payable to:
Your account will be activated within 24-hours of receipt of payment.
In order to complete your purchase, please send an Interac eTransfer to firstname.lastname@example.org
The amount sent should equal the number listed in the Price field. If a partial payment is sent, the account will not be activated until the full amount is received.
For term-payments, only the first term is required and is reflected in the Price.
If you are asked to provide a question and answer for the payment, please enter CCS Payment as the question and cc1UwHj2 as the password. This is a unique PIN that will be associated with your new account in order to expedite the payment confirmation process.
Your payment has been received.
Please click the Submit button below to complete the registration process.