Student Name (First, Last) Student Email Address Parent/Guardian Name (First, Last) Parent/Guardian Phone Number Parent/Guardian Email Student Birthdate Name of Current School or Last School Attended Please select the course you wish to register in: Grade 9 Math | Course Code MDM1D – $1,300 Grade 10 Math | Course Code MPM2D – $1,300 Grade 11 Math | Course Code MCR3U – $1,300 Grade 12 Math, Advanced Functions | Course Code MHF4U – $1,300 Grade 12 Math, Calculus and Vectors | Course Code MCV4U – $1,300 PROOF OF THE PRE-REQUISITE FOR THE SELECTED COURSE/S MUST BE RECEIVED BY QSLA ACADEMY PRIOR TO COMMENCEMENT OF THE COURSE/S. I understand and agree. CANCELLATIONS MUST BE MADE IN WRITING TO QSLA ACADEMY – Attention: Program Director I understand and agree. COURSE FEES MUST BE PAID IN FULL IN ORDER TO OBTAIN A COURSE CREDIT I understand and agree Submit Please Wait…