Notice: NEW! You can now withdraw from a course or program online!! If you withdraw online your refund will go to your client wallet and will be available to use for future courses or programs. If you require your refund to go back to original form of payment, please contact the Municipality of WestLake-Gladstone office at 204-385-2332. Any changes to online registrations, including cancellations or session transfers are subject to a $10.00 administrative fee.
Step 1. Create Billing Contact
Step 2. Activate Account
Step 3. Account Activated

Contact Information       Note: Red text indicates required fields.
Billing First Name:
Billing Last Name:
Address 1:
Address 2:
Country:
  
Prov/State:
  
City: 
  
Postal/Zip Code: 
  
Phone 1: 
  
Phone 2: 
  
Email: 
  
Alternate Email:
   
Client #: 
  
 
Account Information
Username:
* We suggest your email address (Min Characters: 5)
Password:
Re-Type Password:  

Password Strength
     

Note: For the best Password Strength rating include:
  • Uppercase and lowercase characters
  • Numbers
  • Symbols
  • Eight or more characters
Extra Information
 
Birthdate:
      
Guardian 1 Name:
 
Guardian 1 Phone:
 
Guardian 2 Name:
 
Guardian 2 Phone:
 
Emerg. Contact:
 
Emerg. #:
 
 Permission To Take Photo(s) Granted
Medical Information
Medical #:
 
List any medication presently taken:

Do you have any of the following conditions or requirements?:
Allergies:  YesNoEpi-pen Required:  YesNo
Other Medical Conditions:  YesNo 

Please explain:  
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