PVCA Program Registration Form |

If you registering multiple people for programs, please complete this form once for each registrant. If one individual is signing up for multiple classes, complete this form once for that registrant and list all desired programs in the “Program(s) You Are Registering For” field.

First and Last Name *

PVCA or Other Community Association Membership Number

Leave this blank if you do not yet have a valid membership for the current year. Please note that an additional $10 fee for a membership will apply if you need to obtain one to complete your registration. If you are registering for a program using a membership from a different Community Association, please include the name of the CA AND the membership number.

Telephone Number *

Email *

Confirm Email

Address (with Postal Code) *

Program(s) You Are Registering For *

eTransfers are the preferred method of payment for course registrations. Instructions for the transfer will be provided in the email response to your registration request. Arrangement for cash or cheque (made payable to PVCA) can be made with the Program Coordinator.

Name

Prairie View Community Association Regina